| Camas Professional Counseling | |
|
304 N State St Grangeville ID 83530-1769 | |
| (208) 983-0235 | |
| (208) 983-0245 |
| Full Name | Camas Professional Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 304 N State St, Grangeville, Idaho |
| Authorized Official Name and Position | Tammy Lee Everson (CLINICAL/OWNER) |
| Authorized Official Contact | 2089830235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camas Professional Counseling 304 N State St Po Box 627 Grangeville ID 83530-1769 Ph: (208) 983-0235 | Camas Professional Counseling 304 N State St Grangeville ID 83530-1769 Ph: (208) 983-0235 |
| NPI Number | 1033326301 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 09/09/2015 |
| Medicare PECOS PAC ID | 3476579160 |
|---|---|
| Medicare Enrollment ID | O20071204000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033326301 | NPI | - | NPPES |
| 807098900 | Medicaid | ID | |
| 807099000 | Medicaid | ID | |
| 807068800 | Medicaid | ID | |
| 807353600 | Medicaid | ID | |
| 807068700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Idaho) | Primary |
| Provider Name | Tammy Lee Everson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245422625 PECOS PAC ID: 0244256931 Enrollment ID: I20071204000791 |
| Provider Name | Nicolette L Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215672290 PECOS PAC ID: 9931584422 Enrollment ID: I20220920001442 |
Clearwater Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 1/2 E Main St, Grangeville, ID 83530 Phone: 208-983-7717 Fax: 208-983-7787 | |
Bentley Counseling And Consulting,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 Center Rd., Grangeville, ID 83530 Phone: 208-983-5535 | |
Clearwater Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 E Main St, Grangeville, ID 83530 Phone: 208-983-7717 Fax: 208-983-7787 | |
Idaho Dept Of Health & Welfare Reg 2 Amh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 S C St, Grangeville, ID 83530 Phone: 208-983-2300 | |
Idaho Dept Of Health & Welfare Reg 2 Cmh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 S C St, Grangeville, ID 83530 Phone: 208-983-2300 | |
Idaho Dept Of Health & Welfare Reg Ii Amh Grangeville Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 S C St, Grangeville, ID 83530 Phone: 208-983-2300 Fax: 208-983-2440 |