MEDICARE: SEED & SOIL COUNSELING, 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1508799271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEED & SOIL COUNSELING, LLC

Provider Business Mailing Address
First Line	:	3295 W ELDER ST STE 117
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83705-4771
Country	:	US
Telephone Number	:	208-818-7407
Fax Number	:

Provider Business Practice Location Address
First Line	:	3295 W ELDER ST STE 117
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83705-4771
Country	:	US
Telephone Number	:	208-818-7407
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	SAPPHIRE SHALEEN SCOTT
Credential	:	LPC
Telephone Number	:	407-744-1117

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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