| Mark Allen Gritton, LCPC | |
|
1363 Fillmore St, Twin Falls, ID 83301-3392 | |
| (208) 736-7090 | |
| (208) 736-7089 |
| Full Name | Mark Allen Gritton |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1363 Fillmore St, Twin Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205080660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-4077 (Idaho) | Primary |
| 101YM0800X | Counselor - Mental Health | LCPC-4894 (Idaho) | Secondary |
| Entity Name | Crosspointe Mental Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386914505 PECOS PAC ID: 8921257130 Enrollment ID: O20121003000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Allen Gritton, LCPC 1363 Fillmore St, Twin Falls, ID 83301-3392 Ph: (208) 736-7090 | Mark Allen Gritton, LCPC 1363 Fillmore St, Twin Falls, ID 83301-3392 Ph: (208) 736-7090 |
Stephanie Lynn Callen, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 Addison Ave W Ste 1000, Twin Falls, ID 83301 Phone: 208-736-5048 | |
Linda K Waggoner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 493 Eastland, Twin Falls, ID 83303 Phone: 208-732-0995 Fax: 208-732-0993 | |
Mrs. Helen Flinn, ISAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 Gooding St N, Twin Falls, ID 83301 Phone: 208-736-5048 Fax: 208-735-2126 | |
Nohemi Vasquez, Counselor Medicare: Medicare Enrolled Practice Location: 139 River Vista Pl Ste 201, Twin Falls, ID 83301 Phone: 208-858-5175 | |
Mrs. Taylor Anne Van Holland, LPC Counselor Medicare: Medicare Enrolled Practice Location: 496 Shoup Ave W Ste F, Twin Falls, ID 83301 Phone: 208-683-8320 Fax: 208-969-8380 | |
Mrs. Christy Hansen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Falls Ave E Ste 703, Twin Falls, ID 83301 Phone: 208-737-0572 | |
Christina J Satterwhite, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Martin St, Twin Falls, ID 83301 Phone: 208-733-7186 Fax: 208-733-7178 |