Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avalon Noel Taylor Derlacki Prentiss, LPC

Individual provider Mental Health Counselor · NPI 1174196299

Avalon Noel Taylor Derlacki Prentiss, LPC is a Mental Health Counselor in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1015 W Hays St Ste 102
Boise, ID 83702-5412
Phone: (208) 207-8889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8188 (ID)

Record details

NPI number1174196299
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJuly 19, 2021
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

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