Alicia Simpson, | |
112 12th Ave Rd, Nampa, ID 83686 | |
(208) 465-5433 | |
(208) 466-5802 |
Full Name | Alicia Simpson |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 112 12th Ave Rd, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790163855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LAMFT-7330 (Idaho) | Primary |
106H00000X | Marriage & Family Therapist | 69100 (California) | Secondary |
Entity Name | Life Counseling Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841206604 PECOS PAC ID: 4385822493 Enrollment ID: O20110620000425 |
Mailing Address | Practice Location Address |
---|---|
Alicia Simpson, 112 12th Ave Rd, Nampa, ID 83686-5011 Ph: (208) 465-5433 | Alicia Simpson, 112 12th Ave Rd, Nampa, ID 83686 Ph: (208) 465-5433 |
Heidi Alyssa Stark, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4024 Ivy Dr, Nampa, ID 83686 Phone: 208-890-3864 | |
Dr. Damaris Ellen Conrad, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 S Lancaster Dr, Nampa, ID 83686 Phone: 208-463-6366 | |
Ms. Gisela Woggon, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1009 W Hemingway Blvd, Nampa, ID 83651 Phone: 208-453-8915 Fax: 208-453-8937 |