SearchIdaho1041C0700X

Elizabeth Augustine, LCSW

NPI 1477976116 · on the registry since 2014 · sole proprietor

Practice

Address
777 S Latah St # 108
Boise, ID 83705
Phone
(208) 398-0131

Additional practice sites

  • 1226 W River St, Boise, ID

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho