Provider Demographics
NPI:1588303143
Name:GIRNDT-STRONG, ELIZABETH (LCPC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:GIRNDT-STRONG
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:671 E RIVERPARK LN STE 220
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-6559
Mailing Address - Country:US
Mailing Address - Phone:208-344-2071
Mailing Address - Fax:208-344-2075
Practice Address - Street 1:671 E RIVERPARK LN STE 220
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-6559
Practice Address - Country:US
Practice Address - Phone:208-344-2071
Practice Address - Fax:208-344-2075
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-10420101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional