Michael E Callender, LCPC | |
799 S Malachite Ave, Meridian, ID 83642-6394 | |
(208) 350-6759 | |
Not Available |
Full Name | Michael E Callender |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 799 S Malachite Ave, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982131314 | NPI | - | NPPES |
1982131314 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-6558 (Idaho) | Secondary |
101YM0800X | Counselor - Mental Health | LCPC-9688 (Idaho) | Primary |
Entity Name | Lifepath Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477920270 PECOS PAC ID: 9638487515 Enrollment ID: O20150925000838 |
Mailing Address | Practice Location Address |
---|---|
Michael E Callender, LCPC 799 S Malachite Ave, Meridian, ID 83642-6394 Ph: (323) 304-7950 | Michael E Callender, LCPC 799 S Malachite Ave, Meridian, ID 83642-6394 Ph: (208) 350-6759 |
Diane Smith, Counselor Medicare: Medicare Enrolled Practice Location: 2131 S Bonito Way, Meridian, ID 83642 Phone: 208-202-4732 | |
Gregory M Deitchler, MA L.M.F.T., L.P.C., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3061 S. Meridian Rd., Suite 100, Meridian, ID 83642 Phone: 208-350-0330 Fax: 208-576-6915 | |
Mrs. Chris Zukowski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 S Topaz Way, Meridian, ID 83642 Phone: 208-888-3151 | |
Tami Marie Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3597 E Monarch Sky Ln Ste F-240, Meridian, ID 83646 Phone: 208-890-7165 | |
Courtney S. Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1047 S Wells St, Meridian, ID 83642 Phone: 208-670-5551 | |
Shelby Martini, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 W Ustick Rd Ste 120, Meridian, ID 83646 Phone: 208-506-0520 | |
Chad Goldsmith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2950 E Magic View Dr Ste 192, Meridian, ID 83642 Phone: 208-843-4003 |