Healthcare Provider Details

I. General information

NPI: 1952257255
Provider Name (Legal Business Name): LINDSEY MEPHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 N RADCLIFFE WAY
EAGLE ID
83616-3954
US

IV. Provider business mailing address

1730 N RADCLIFFE WAY
EAGLE ID
83616-3954
US

V. Phone/Fax

Practice location:
  • Phone: 208-807-0577
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberLPC-8645
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: