Root, Rachel Anne

Root, Rachel Anne is an sole proprietor health care provider with primary practice located at 671 E Riverpark Ln Ste 220 , Boise ID 83706. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Root, Rachel Anne can be contacted via phone (208) 344-2071.

Contact Information

Primary practice address
671 E Riverpark Ln Ste 220 Boise ID 83706
Phone: (208) 344-2071
Fax: (208) 344-2075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY-202658 Idaho

Profile Details

NPI number 1710279807
LBN Legal business name Root, Rachel Anne
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2011
Last updated Jul 26th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710279807 NPPES
Idaho Other 46-1124545 TAX ID
Idaho MEDICAID 1710279807 TAX ID
Idaho Other 12239758 TAX ID

Popular Providers