| Ambitions Of Idaho, Inc. | |
|
1044 Northwest Blvd Ste F Coeur D Alene ID 83814-2165 | |
| (208) 676-9395 | |
| (208) 676-9385 |
| Full Name | Ambitions Of Idaho, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1044 Northwest Blvd Ste F, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Shane Hagel (PRESIDENT) |
| Authorized Official Contact | 2086769395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambitions Of Idaho, Inc. 1044 Northwest Blvd Ste F Coeur D Alene ID 83814-2165 Ph: (208) 676-9395 | Ambitions Of Idaho, Inc. 1044 Northwest Blvd Ste F Coeur D Alene ID 83814-2165 Ph: (208) 676-9395 |
| NPI Number | 1689133050 |
|---|---|
| Provider Enumeration Date | 03/15/2019 |
| Last Update Date | 03/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689133050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Ambitions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814 Phone: 208-930-1740 Fax: 208-930-1695 | |
Restored Paths Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 E Harrison Ave, Coeur D Alene, ID 83814 Phone: 208-664-8347 | |
Journey Counseling Of Coeur D'alene Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Northwest Blvd Ste 101, Coeur D Alene, ID 83814 Phone: 208-953-1403 | |
Cooksey Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Northwest Blvd Ste 107a, Coeur D Alene, ID 83814 Phone: 208-551-5158 | |
Trauma And Recovery Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E Wallace Ave Ste B, Coeur D Alene, ID 83814 Phone: 801-885-0559 | |
Idaho Dept Of Health & Welfare Reg 1 Amh Psr Cda Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2195 Ironwood Ct, Coeur D Alene, ID 83814 Phone: 208-769-1406 Fax: 208-769-1430 | |
North Lakes Family Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 E Lakeside Ave, Coeur D Alene, ID 83814 Phone: 208-664-5941 |