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General NPI Number Information
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NPI Number | 1093649493
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Entity Type | Organization
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Legal Business Name | ENSO RISING THERAPY
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 6477 W FAIRVIEW AVE STE B
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City | BOISE
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State | ID
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Zip | 83704-7717
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Country | US
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Telephone | 208-451-3050
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Fax |
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Provider Business Mailing Address
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Address Line | 6477 W FAIRVIEW AVE STE B
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City | BOISE
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State | ID
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Zip | 83704-7717
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Country | US
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Telephone | 208-451-3050
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | SARAH KRISTINA ERICKSON
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Credential | LCSW
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Telephone | 208-451-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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