Melinda Carpenter, LCPC | |
120 Desert Sage Way, Mountain Home, ID 83647-1038 | |
(208) 587-3988 | |
(208) 587-3324 |
Full Name | Melinda Carpenter |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 120 Desert Sage Way, Mountain Home, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013469808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCPC-7557 (Idaho) | Primary |
Entity Name | Glenns Ferry Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376673137 PECOS PAC ID: 5496656894 Enrollment ID: O20040119000307 |
Mailing Address | Practice Location Address |
---|---|
Melinda Carpenter, LCPC 120 Desert Sage Way, Mountain Home, ID 83647-1038 Ph: (208) 587-3398 | Melinda Carpenter, LCPC 120 Desert Sage Way, Mountain Home, ID 83647-1038 Ph: (208) 587-3988 |
Jonathan A Price, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-580-5431 Fax: 208-906-8525 | |
Frank Monasterio, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2280 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-587-3988 | |
Talmage W Delange, M.ED, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 North 3rd East, Mountain Home, ID 83647 Phone: 208-724-8120 Fax: 208-587-2992 | |
Elizabeth Taylor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 E 2nd N, Mountain Home, ID 83647 Phone: 208-587-8095 Fax: 208-587-8025 | |
Justin Robert Humber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-580-5431 | |
Alexandra Yewcic, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-580-5431 |