Samantha Leavitt, | |
145 E Deer Flat Rd, Kuna, ID 83634-1323 | |
(208) 922-9001 | |
Not Available |
Full Name | Samantha Leavitt |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 145 E Deer Flat Rd, Kuna, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881264950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LMSW-35831 (Idaho) | Secondary |
101YM0800X | Counselor - Mental Health | LCSW-42074 (Idaho) | Primary |
Entity Name | Pathways Of Idaho, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326466988 PECOS PAC ID: 4789808759 Enrollment ID: O20140612001789 |
Mailing Address | Practice Location Address |
---|---|
Samantha Leavitt, 145 E Deer Flat Rd, Kuna, ID 83634-1323 Ph: (208) 922-9001 | Samantha Leavitt, 145 E Deer Flat Rd, Kuna, ID 83634-1323 Ph: (208) 922-9001 |
Chandra Salisbury, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 W. Main St, Kuna, ID 83634 Phone: 208-922-9001 Fax: 208-922-3778 | |
Jessica Diaz, LCPC, NCC, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 E Porter St, Kuna, ID 83634 Phone: 208-813-4431 Fax: 208-922-3778 | |
Christopher Daniel Bennett, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13900 Pleasant Vly Rd, Kuna, ID 83634 Phone: 208-336-1260 | |
Nina Hillman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 W Main St, Kuna, ID 83634 Phone: 208-922-9001 Fax: 208-922-3778 | |
Melanie Pilot, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 E Deer Flat Rd, Kuna, ID 83634 Phone: 208-922-9001 | |
Dawn Marie Kangas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 E Deer Flat Rd, Kuna, ID 83634 Phone: 208-922-9001 | |
Lisa Asenith Kerr, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2853 W Stayman Way, Kuna, ID 83634 Phone: 530-845-3724 |