| Bodhicitta Counseling Llc | |
|
250 Northwest Blvd Coeur D Alene ID 83814-2974 | |
| (208) 929-6845 | |
| Not Available |
| Full Name | Bodhicitta Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 250 Northwest Blvd, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Greg Lippert (OWNER) |
| Authorized Official Contact | 2089296845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodhicitta Counseling Llc 9030 N Hess St # 104 Hayden ID 83835-9827 Ph: () - | Bodhicitta Counseling Llc 250 Northwest Blvd Coeur D Alene ID 83814-2974 Ph: (208) 929-6845 |
| NPI Number | 1427813658 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Medicare PECOS PAC ID | 3870930266 |
|---|---|
| Medicare Enrollment ID | O20240320004135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427813658 | NPI | - | NPPES |
| Provider Name | Greg Lippert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912346032 PECOS PAC ID: 4587015797 Enrollment ID: I20240320004157 |
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