Provider Demographics
NPI:1386186260
Name:MURRAY-THOMAS, RHONDA (LMSW)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:MURRAY-THOMAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3251 N CLAYTON PL
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-4023
Mailing Address - Country:US
Mailing Address - Phone:208-789-6193
Mailing Address - Fax:
Practice Address - Street 1:524 S 9TH AVE STE 103
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-5072
Practice Address - Country:US
Practice Address - Phone:208-454-2144
Practice Address - Fax:208-454-2149
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-26745104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker