Healthcare Provider Details

I. General information

NPI: 1972430163
Provider Name (Legal Business Name): STOEHR LMFT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

834 E WINDING CREEK DR STE 104
EAGLE ID
83616-7230
US

IV. Provider business mailing address

834 E WINDING CREEK DR
EAGLE ID
83616-7230
US

V. Phone/Fax

Practice location:
  • Phone: 747-229-4299
  • Fax:
Mailing address:
  • Phone: 747-229-4299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. BLUE C STOEHR
Title or Position: OWNER
Credential: LMFT
Phone: 747-229-4299