Healthcare Provider Details

I. General information

NPI: 1790694032
Provider Name (Legal Business Name): WHITNEY RANAE HAMMOND LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 W ORCHARD AVE
NAMPA ID
83651-1878
US

IV. Provider business mailing address

11282 W SILVER RIVER LOOP
NAMPA ID
83686-5473
US

V. Phone/Fax

Practice location:
  • Phone: 208-461-2838
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8981027
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: