MS. MICHELLE ANNETTE SCOVILLE-DORMAN (NPI# 1558622001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558622001 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE ANNETTE SCOVILLE-DORMAN |
| Credential | LPC |
| Practice Address |
4696 W Overland Rd Suite 252 Boise ID 83705-2845 |
| Practice Telephone | 2088413581 |
| Practice Fax Number | 2089068572 |
| Mailing Telephone | 2088413581 |
| Mailing Fax Number | 2089068572 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-2923 | ID | Behavioral Health & Social Service Providers |
| Street Address |
4696 W OVERLAND RD SUITE 252 |
| City | BOISE |
| State | ID |
| Zip Code | 83705-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477547370 | Alex Peter Bormann | Psychiatry & Neurology | 4696 W Overland Rd, Suite 228, Boise, ID 83705-2845 | 2005-09-07 |
| 1255793204 | Satinder Aujla | Marriage & Family Therapist | 4696 W Overland Rd, Suite 252, Boise, ID 83705-2845 | 2016-03-28 |
| 1598135394 | Ability Health and Rehabilitation LLC | Community/Behavioral Health | 4696 W Overland Rd, Suite 236, Boise, ID 83705-2845 | 2015-10-06 |
| 1164723771 | A Better Life Behavioral Health Services, Inc. | Clinic/Center | 4696 W Overland Rd, 236, Boise, ID 83705-2845 | 2010-11-12 |
| 1407171176 | A Balanced Life Experience | Counselor | 4696 W Overland Rd, Suite 118, Boise, ID 83705-2845 | 2010-04-06 |
| 1700037819 | Robin L Cogan | Social Worker | 4696 W Overland Rd, Suite 132, Boise, ID 83705-2845 | 2008-10-07 |
| 1437307378 | Tara J Ryan | Social Worker | 4696 W Overland Rd, Suite 252, Boise, ID 83705-2845 | 2008-09-04 |
| 1093992794 | Degolia Monzello Johnson | Specialist | 4696 W Overland Rd, Suite 224, Boise, ID 83705-2845 | 2008-01-24 |
| 1972789535 | Ann Jolene Moore | Counselor | 4696 W Overland Rd, Suite 118, Boise, ID 83705-2845 | 2008-01-14 |
| 1568647881 | Marjorie Bolles | Counselor | 4696 W Overland Rd, 268, Boise, ID 83705-2845 | 2008-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
| 1972138485 | Lesha Renee Brandt | Counselor | 7950 Horseshoe Bend Rd, Boise, ID 83714-3809 | 2020-03-04 |
| 1235783564 | Stephanie Therese Breitenstein | Counselor | 4310 W Clark St, Boise, ID 83705-2024 | 2019-07-25 |
| 1124687520 | Something Different Counseling LLC | Counselor | 6126 W State St # 409, Boise, ID 83703-2741 | 2019-06-10 |
| 1548727118 | Elsa Francis Willis | Counselor | 190 E Front St Apt 420, Boise, ID 83702-7316 | 2019-03-01 |
| 1841763778 | Jana Lyn Taylor | Counselor | 2928 S Mayflower Way, Boise, ID 83709-8567 | 2019-01-03 |
| 1417436601 | Laura Burdette | Counselor | 4696 W Overland Rd Ste 168, Boise, ID 83705-2878 | 2018-08-09 |
| 1114405925 | Garrett Price | Counselor | 17917 N Evanton Way, Boise, ID 83714-5524 | 2018-08-02 |
| 1518457332 | Rebecca Lindsey Gonzales | Counselor | 6625 W Holiday Dr, Boise, ID 83709-2023 | 2018-05-16 |
| 1417445461 | Sarah Harris | Counselor | 10020 W Fairview Ave Ste 204, Boise, ID 83704-8571 | 2018-04-25 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on MS. MICHELLE ANNETTE SCOVILLE-DORMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.