Robb Dye, LCSW | |
4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 | |
(208) 237-1711 | |
(208) 237-5192 |
Full Name | Robb Dye |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4460 Central Way, 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 |
---|---|---|---|
1841438918 | NPI | - | NPPES |
807197600 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCSW25604 (Idaho) | Primary |
Entity Name | Pocatello Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Mailing Address | Practice Location Address |
---|---|
Robb Dye, LCSW 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 Ph: (208) 237-1711 | Robb Dye, LCSW 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 Ph: (208) 237-1711 |
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 | |
Heather Neaman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
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 |