Provider Demographics
NPI:1598954786
Name:FARRENS, LORI LYNN (LCPC)
Entity type:Individual
Prefix:MISS
First Name:LORI
Middle Name:LYNN
Last Name:FARRENS
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 1:223 BUCKSKIN DR
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-8859
Mailing Address - Country:US
Mailing Address - Phone:208-602-0885
Mailing Address - Fax:
Practice Address - Street 1:104 9TH AVE S STE B1
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-3809
Practice Address - Country:US
Practice Address - Phone:208-803-0883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-3840101YP2500X
IDLCPC-4416101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional