Healthcare Provider Details

I. General information

NPI: 1184531360
Provider Name (Legal Business Name): RACHAEL SPEAR LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

843 N WASHINGTON AVE
EMMETT ID
83617-5076
US

IV. Provider business mailing address

843 N WASHINGTON AVE
EMMETT ID
83617-5076
US

V. Phone/Fax

Practice location:
  • Phone: 208-365-3141
  • Fax: 208-398-8311
Mailing address:
  • Phone: 208-365-3141
  • Fax: 208-398-8311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number7781029
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: