Elaine Hart, LPC | |
427 12th St, Plummer, ID 83851-4000 | |
(208) 686-1931 | |
Not Available |
Full Name | Elaine Hart |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 427 12th St, Plummer, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396489118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC-8602 (Idaho) | Primary |
Entity Name | Benewah Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336135136 PECOS PAC ID: 6709878622 Enrollment ID: O20040331001566 |
Mailing Address | Practice Location Address |
---|---|
Elaine Hart, LPC Po Box 388, Plummer, ID 83851-0388 Ph: (503) 583-6319 | Elaine Hart, LPC 427 12th St, Plummer, ID 83851-4000 Ph: (208) 686-1931 |
Mrs. Jamie Dee Smith, LPC Counselor Medicare: Medicare Enrolled Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 | |
Mr. Joshua Michael Severns, LCSW, ACADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 N 12th Street, Plummer, ID 83851 Phone: 208-686-1449 | |
Michelle Kay Moore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 | |
Mrs. Dawn E Crouse, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 531 Camarillo Ln, Plummer, ID 83851 Phone: 208-987-0652 | |
Tonya Marie Amour-patton, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 | |
Tucker Lloyd Larsen, PA-C Counselor Medicare: Accepting Medicare Assignments Practice Location: 427 N 12th St., Plummer, ID 83851 Phone: 208-686-1931 |