Michelle Marchant, | |
2705 E 17th St, Ammon, ID 83406-6601 | |
(208) 346-7500 | |
Not Available |
Full Name | Michelle Marchant |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 2705 E 17th St, Ammon, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760982854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LPC-6560 (Idaho) | Primary |
Entity Name | Pearl Health Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447426465 PECOS PAC ID: 0840356077 Enrollment ID: O20090312000617 |
Mailing Address | Practice Location Address |
---|---|
Michelle Marchant, 2705 E 17th St, Ammon, ID 83406-6601 Ph: (208) 346-7500 | Michelle Marchant, 2705 E 17th St, Ammon, ID 83406-6601 Ph: (208) 346-7500 |
Elizabeth Whitehead, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1323 Ammon Park Dr, Ammon, ID 83406 Phone: 208-932-8350 Fax: 208-938-2330 | |
Elizabeth Harding, Counselor Medicare: Medicare Enrolled Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 Fax: 208-523-5627 | |
Siu Ling Chi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 | |
Mr. Zakery R Warren, LCPC4472 Counselor Medicare: Medicare Enrolled Practice Location: 2705 E 17th St Ste A, Ammon, ID 83406 Phone: 208-346-7500 Fax: 208-346-7501 | |
Angela Lynn Seal, BS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 N Curlew Dr Apt 3105, Ammon, ID 83401 Phone: 208-569-6670 | |
Alyson Marie Webster, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1329 Ammon Park Dr, Ammon, ID 83406 Phone: 208-516-1003 Fax: 208-516-1014 | |
Colin Waters, Counselor Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 |