| Downtown Counseling Group Llc | |
|
127 S Washington St Ste 5 Moscow ID 83843-2866 | |
| (208) 883-9927 | |
| (208) 883-9935 |
| Full Name | Downtown Counseling Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 127 S Washington St Ste 5, Moscow, Idaho |
| Authorized Official Name and Position | Michele Lynch (OWNER) |
| Authorized Official Contact | 5095928268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Counseling Group Llc 127 S Washington St Ste 5 Moscow ID 83843-2866 Ph: (208) 883-9927 | Downtown Counseling Group Llc 127 S Washington St Ste 5 Moscow ID 83843-2866 Ph: (208) 883-9927 |
| NPI Number | 1396396677 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 09/09/2020 |
| Certification Date | 09/09/2020 |
| Medicare PECOS PAC ID | 2961944772 |
|---|---|
| Medicare Enrollment ID | O20240607003023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396396677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michele Lynch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689928574 PECOS PAC ID: 3870035686 Enrollment ID: I20240610000961 |
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