MELISSA RUTH LCPC LLC


Address: 1015 W Hays St Ste 207, Boise, ID 83702-5424
Phone: 2089180319

MELISSA RUTH LCPC LLC (NPI# 1750882635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750882635
Entity Type Organization
Organization Name MELISSA RUTH LCPC LLC
Practice Address 1015 W Hays St Ste 207
Boise
ID 83702-5424
Mailing Address 910 E Washington St
Boise
ID 83712-7321
Practice Telephone 2089180319
Mailing Telephone 2088411704
Enumeration Date 2018-02-26
Last Update Date 2018-02-26
Authorized Official Name MELISSA RUTH (OWNER)
Authorized Official Telephone 2088411704
Authorized Official Credential LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 1015 W HAYS ST STE 207
City BOISE
State ID
Zip Code 83702-5424

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City BOISE
Zip Code 83702

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Dataset Information

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.

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