| Above And Beyond Counseling & Psr, Llc | |
|
545 Shoup Ave Suite #321 Idaho Falls ID 83402-3575 | |
| (208) 521-7225 | |
| (208) 524-9019 |
| Full Name | Above And Beyond Counseling & Psr, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 545 Shoup Ave, Idaho Falls, Idaho |
| Authorized Official Name and Position | Shawn Darrel Beebe (OWNER, DIRECTOR) |
| Authorized Official Contact | 2085217225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Above And Beyond Counseling & Psr, Llc 545 Shoup Ave Suite #321 Idaho Falls ID 83402-3575 Ph: (208) 521-7225 | Above And Beyond Counseling & Psr, Llc 545 Shoup Ave Suite #321 Idaho Falls ID 83402-3575 Ph: (208) 521-7225 |
| NPI Number | 1265644272 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265644272 | NPI | - | NPPES |
| 807357300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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