Mrs Savanah Shae Packard, LPC | |
425 Mindy Dr, Chubbuck, ID 83202-2263 | |
(208) 339-0368 | |
Not Available |
Full Name | Mrs Savanah Shae Packard |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 425 Mindy Dr, Chubbuck, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730830811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-8623 (Idaho) | Primary |
Entity Name | Stillwaters Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275638645 PECOS PAC ID: 2466412051 Enrollment ID: O20041020000373 |
Mailing Address | Practice Location Address |
---|---|
Mrs Savanah Shae Packard, LPC 1309 Camas St, Blackfoot, ID 83221-3060 Ph: (208) 782-0675 | Mrs Savanah Shae Packard, LPC 425 Mindy Dr, Chubbuck, ID 83202-2263 Ph: (208) 339-0368 |
Lavon Marie Cole, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
Nancy Bentley, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
David Averill, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 Kings Way Ste 2, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-5192 | |
Sara Stengel, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 387 Chesapeake Ave, Chubbuck, ID 83202 Phone: 208-352-6486 | |
Jade Letourneau, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-237-1711 | |
Laurie Yates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202 Phone: 208-238-2120 | |
Ashley Bringhurst, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 4856 Brookstone St, Chubbuck, ID 83202 Phone: 208-709-0033 |