| A Penney For Your Thoughts | |
|
1820 E 17th St Ste 190 Idaho Falls ID 83404-6518 | |
| (208) 419-6102 | |
| (208) 549-9618 |
| Full Name | A Penney For Your Thoughts |
|---|---|
| Speciality | Clinic/Center |
| Location | 1820 E 17th St Ste 190, Idaho Falls, Idaho |
| Authorized Official Name and Position | Penney Rockhill (COUNSELOR) |
| Authorized Official Contact | 2084196102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Penney For Your Thoughts 1820 E 17th St Ste 190 Idaho Falls ID 83404-6518 Ph: (208) 419-6102 | A Penney For Your Thoughts 1820 E 17th St Ste 190 Idaho Falls ID 83404-6518 Ph: (208) 419-6102 |
| NPI Number | 1124590302 |
|---|---|
| Provider Enumeration Date | 12/27/2018 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 8820434962 |
|---|---|
| Medicare Enrollment ID | O20240311003585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124590302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Penney Ann Rockhill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194082826 PECOS PAC ID: 9739525874 Enrollment ID: I20240311003651 |
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