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General NPI Number Information
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NPI Number | 1417808460
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Entity Type | Organization
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Legal Business Name | HEIDI CARPENTER, LCPC, LLC
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 3050 N LAKEHARBOR LN STE 120
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City | BOISE
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State | ID
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Zip | 83703-6917
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Country | US
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Telephone | 208-830-2820
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 N RIVERVISTA WAY
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City | GARDEN CITY
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State | ID
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Zip | 83714-1978
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Country | US
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Telephone | 208-830-2820
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Fax |
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Authorized Official
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Title or Position | OWNERE
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Name | HEIDI CARPENTER
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Credential | LCPC
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Telephone | 208-830-2820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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