| A New Beginning Counseling Center, Pc. | |
|
1025 S Bridgeway Pl Ste 280 Eagle ID 83616-6834 | |
| (208) 412-7740 | |
| (208) 853-1318 |
| Full Name | A New Beginning Counseling Center, Pc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1025 S Bridgeway Pl Ste 280, Eagle, Idaho |
| Authorized Official Name and Position | Jessica Shakespeare Neighbors (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2084127740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Beginning Counseling Center, Pc. 1025 S Bridgeway Pl Ste 280 Eagle ID 83616-6834 Ph: (208) 412-7740 | A New Beginning Counseling Center, Pc. 1025 S Bridgeway Pl Ste 280 Eagle ID 83616-6834 Ph: (208) 412-7740 |
| NPI Number | 1821238080 |
|---|---|
| Provider Enumeration Date | 03/01/2009 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Medicare PECOS PAC ID | 3375600604 |
|---|---|
| Medicare Enrollment ID | O20090331000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821238080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jessica S Neighbors |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679723282 PECOS PAC ID: 8022175348 Enrollment ID: I20090331000446 |
| Provider Name | Scott A Eliason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710094594 PECOS PAC ID: 0941352637 Enrollment ID: I20090709000692 |
| Provider Name | Alan Glen Neighbors |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265874184 PECOS PAC ID: 9032357223 Enrollment ID: I20180216000262 |
| Provider Name | Anne Jeannette Harger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952068629 PECOS PAC ID: 1951797869 Enrollment ID: I20220401000588 |
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