| Calm Waters Counseling Pllc | |
|
10108 W Overland Rd # A Boise ID 83709-1428 | |
| (208) 371-7226 | |
| (208) 375-7251 |
| Full Name | Calm Waters Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 10108 W Overland Rd # A, Boise, Idaho |
| Authorized Official Name and Position | David Allen Martin (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 2083717226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calm Waters Counseling Pllc 10108 W Overland Rd # A Boise ID 83709-1428 Ph: (208) 371-7226 | Calm Waters Counseling Pllc 10108 W Overland Rd # A Boise ID 83709-1428 Ph: (208) 371-7226 |
| NPI Number | 1972141265 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/19/2019 |
| Certification Date | 12/19/2019 |
| Medicare PECOS PAC ID | 7719327139 |
|---|---|
| Medicare Enrollment ID | O20240502002530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972141265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | David Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518340298 PECOS PAC ID: 9537509955 Enrollment ID: I20240502002670 |
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