| Avanzar Wellness Llc | |
|
10096 W Fairview Ave Ste 160 Boise ID 83704-5004 | |
| (208) 908-7882 | |
| (208) 908-7883 |
| Full Name | Avanzar Wellness Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10096 W Fairview Ave Ste 160, Boise, Idaho |
| Authorized Official Name and Position | Jose Carbajal (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2089087882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avanzar Wellness Llc 10096 W Fairview Ave Ste 160 Boise ID 83704-5004 Ph: (208) 908-7882 | Avanzar Wellness Llc 10096 W Fairview Ave Ste 160 Boise ID 83704-5004 Ph: (208) 908-7882 |
| NPI Number | 1871126797 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 07/05/2024 |
| Certification Date | 07/05/2024 |
| Medicare PECOS PAC ID | 1557790854 |
|---|---|
| Medicare Enrollment ID | O20200408001775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871126797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Beatrice S Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881730133 PECOS PAC ID: 1355524414 Enrollment ID: I20110328000087 |
| Provider Name | Kara Marie Kreizenbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821352378 PECOS PAC ID: 4082843743 Enrollment ID: I20140130000071 |
| Provider Name | Erik Gerald Roth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578803284 PECOS PAC ID: 4880063486 Enrollment ID: I20221202001483 |
| Provider Name | Ann Marie Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346707965 PECOS PAC ID: 3870965601 Enrollment ID: I20230203002657 |
| Provider Name | Ann Marie Clayton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184277618 PECOS PAC ID: 8325417421 Enrollment ID: I20240224000566 |
Boise Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7227 W Potomac Dr, Boise, ID 83704 Phone: 208-314-1770 | |
St. Alphonsus Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Allumbaugh St, Boise, ID 83704 Phone: 208-367-3069 Fax: 208-367-3002 | |
Living Well, Inc, Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6003 W Overland Rd, Suite 101, Boise, ID 83709 Phone: 208-322-2412 Fax: 208-345-2077 | |
Continual Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 N 33rd St, Boise, ID 83703 Phone: 208-340-6270 | |
Commonplace Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Bannock St, Boise, ID 83702 Phone: 208-906-5878 | |
Arrowleaf Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 413 N Allumbaugh St Ste 101, Boise, ID 83704 Phone: 208-954-5594 Fax: 208-954-5598 | |
Sara Hill, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1414 W Franklin St, Boise, ID 83702 Phone: 208-336-4999 |