Provider Demographics
NPI:1922621747
Name:HOID, AMBER LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:LYNN
Last Name:HOID
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10177 W CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-5319
Mailing Address - Country:US
Mailing Address - Phone:208-867-3288
Mailing Address - Fax:
Practice Address - Street 1:4090 W STATE ST STE 109
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83703-4450
Practice Address - Country:US
Practice Address - Phone:208-867-3288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW424891041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical