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General NPI Number Information
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NPI Number | 1700758869
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Entity Type | Organization
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Legal Business Name | COUCH HOLISTIC THERAPY, LLC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 3013 W STEWART AVE
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City | BOISE
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State | ID
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Zip | 83702-2014
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Country | US
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Telephone | 208-918-1230
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Fax |
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Provider Business Mailing Address
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Address Line | 3013 W STEWART AVE
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City | BOISE
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State | ID
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Zip | 83702-2014
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Country | US
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Telephone | 208-918-1230
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | RACHEL E COUCH
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Credential | LCPC, NCC
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Telephone | 208-206-8877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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