Eaton, Lori Nicole

Eaton, Lori Nicole is an sole proprietor health care provider with primary practice located at 3709 N Locust Grove Rd Ste 100 , Meridian ID 83646-6450. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Eaton, Lori Nicole can be contacted via phone (208) 571-7100.

Contact Information

Primary practice address
3709 N Locust Grove Rd Ste 100 Meridian ID 83646-6450
Phone: (208) 571-7100
Fax: (208) 493-4331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LMSW 28083 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW- 31259 Idaho

Profile Details

NPI number 1003054560
LBN Legal business name Eaton, Lori Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2009
Last updated Oct 17th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003054560 NPPES
Idaho MEDICAID 806968300
Idaho Other 1041C0700X
Idaho Other 20001460

Popular Providers