MEDICARE: S.T.A.R.R. FAMILY BEHAVIORAL HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1033378146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S.T.A.R.R. FAMILY BEHAVIORAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	7161 W POTOMAC DR
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83704-9148
Country	:	US
Telephone Number	:	208-908-6399
Fax Number	:	866-275-9883

Provider Business Practice Location Address
First Line	:	7161 W POTOMAC DR
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83704-9148
Country	:	US
Telephone Number	:	208-908-6399
Fax Number	:	866-275-9883

Authorized Official
Title or Position	:	OWNER
Name	:	DOUG LOERTSCHER
Credential	:
Telephone Number	:	208-250-4561

Provider Enumeration Date	:	06/03/2008
Last Update Date	:	02/27/2026

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