| A New Horizon Counseling Service, Llc | |
|
10615 N Government Way Suite 206 Hayden ID 83835-7473 | |
| (208) 755-5188 | |
| (208) 772-2533 |
| Full Name | A New Horizon Counseling Service, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10615 N Government Way, Hayden, Idaho |
| Authorized Official Name and Position | Terri Lynn Sudol (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2087555188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Horizon Counseling Service, Llc 10615 N Government Way Suite 206 Hayden ID 83835-7473 Ph: (208) 755-5188 | A New Horizon Counseling Service, Llc 10615 N Government Way Suite 206 Hayden ID 83835-7473 Ph: (208) 755-5188 |
| NPI Number | 1508983925 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508983925 | NPI | - | NPPES |
| 18833 | Other | ID | GROUP HEALTH |
| 10017829 | Other | ID | REGENCE |
| L-2243 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW-1215 (Idaho) | Primary |
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