A Way Through Llc | |
1800 N Midland Blvd Nampa ID 83651-1747 | |
(208) 615-1313 | |
(208) 960-1775 |
Full Name | A Way Through Llc |
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Speciality | Counselor |
Location | 1800 N Midland Blvd, Nampa, Idaho |
Authorized Official Name and Position | Barry Grant Brooks (EXECUTIVE DIRECTOR/OWNER) |
Authorized Official Contact | 2083400292 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A Way Through Llc 1800 N Midland Blvd Nampa ID 83651-1747 Ph: (208) 615-1313 | A Way Through Llc 1800 N Midland Blvd Nampa ID 83651-1747 Ph: (208) 615-1313 |
NPI Number | 1285488981 |
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Provider Enumeration Date | 04/17/2024 |
Last Update Date | 04/17/2024 |
Certification Date | 04/17/2024 |
Medicare PECOS PAC ID | 2264873769 |
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Medicare Enrollment ID | O20240515002306 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285488981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Barry G Brooks |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1184612418 PECOS PAC ID: 3173964673 Enrollment ID: I20240515002380 |
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