Individual provider · Type 1 NPI

Shayla Renee Hickman, LCPC

Professional Counselor · Idaho Falls, ID

NPI number 1225515299 Active

Practice location

211 S Woodruff Ave Ste B5
Idaho Falls, ID 83401-4866

Call (208) 219-7010 Map

Fax (208) 346-7501

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLCPC-7945 (ID)

Professional Counselor: Definition to come...

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About NPI 1225515299

Shayla Renee Hickman, LCPC's National Provider Identifier is 1225515299, issued on Jul 23, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 30, 2026.