Provider Demographics
NPI:1265551543
Name:HALL, RACHAEL LEE (LPC)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:LEE
Last Name:HALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:LEE
Other - Last Name:BARRINGTON-HALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:8310 PURPLE SAGE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:ID
Mailing Address - Zip Code:83644-5313
Mailing Address - Country:US
Mailing Address - Phone:208-585-3896
Mailing Address - Fax:
Practice Address - Street 1:5999 W STATE ST
Practice Address - Street 2:STE B
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83703-3039
Practice Address - Country:US
Practice Address - Phone:208-853-5095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC 3261101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional