| Brc Mental Health Services | |
|
963 S Orchard St Ste 103 Boise ID 83705-1917 | |
| (208) 890-7290 | |
| (208) 286-9829 |
| Full Name | Brc Mental Health Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 963 S Orchard St Ste 103, Boise, Idaho |
| Authorized Official Name and Position | Melissa M. Wolfe (OWNER) |
| Authorized Official Contact | 2088907290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brc Mental Health Services Po Box 1349 Eagle ID 83616-1349 Ph: (208) 890-7290 | Brc Mental Health Services 963 S Orchard St Ste 103 Boise ID 83705-1917 Ph: (208) 890-7290 |
| NPI Number | 1982126264 |
|---|---|
| Provider Enumeration Date | 07/08/2017 |
| Last Update Date | 11/08/2019 |
| Medicare PECOS PAC ID | 6305106824 |
|---|---|
| Medicare Enrollment ID | O20180403001809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982126264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Laura L Hartwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023322856 PECOS PAC ID: 4284750530 Enrollment ID: I20100924000169 |
| Provider Name | Tomais J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093056368 PECOS PAC ID: 4981843448 Enrollment ID: I20130613000737 |
| Provider Name | Elizabeth A Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649694233 PECOS PAC ID: 7416258587 Enrollment ID: I20151214002209 |
| Provider Name | Kyle Joseph Ronnau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326584640 PECOS PAC ID: 9133492986 Enrollment ID: I20170830002027 |
| Provider Name | Judith L Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265857999 PECOS PAC ID: 1153758602 Enrollment ID: I20200306001969 |
| Provider Name | David Neal Goldstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407191562 PECOS PAC ID: 6002255189 Enrollment ID: I20240423000740 |
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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 | |
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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 |