Provider Demographics
NPI:1417011602
Name:RANEY, ROBIN ELAINE (NCC, LCPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:ELAINE
Last Name:RANEY
Suffix:
Gender:F
Credentials:NCC, LCPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 LAKES EDGE PL
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83714-1951
Mailing Address - Country:US
Mailing Address - Phone:208-854-0222
Mailing Address - Fax:
Practice Address - Street 1:6140 W EMERALD ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-8857
Practice Address - Country:US
Practice Address - Phone:208-367-2275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC - 366101YM0800X, 101YP2500X
IDLMFT - 2707106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist