| Community Based Counseling | |
|
419 22nd Ave Lewiston ID 83501-3812 | |
| (208) 743-9404 | |
| Not Available |
| Full Name | Community Based Counseling |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 419 22nd Ave, Lewiston, Idaho |
| Authorized Official Name and Position | Jenny Skeels (BUSINESS OFFICE MANGER) |
| Authorized Official Contact | 2087439404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Based Counseling 419 22nd Ave Lewiston ID 83501-3812 Ph: (208) 743-9404 | Community Based Counseling 419 22nd Ave Lewiston ID 83501-3812 Ph: (208) 743-9404 |
| NPI Number | 1245368224 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245368224 | NPI | - | NPPES |
| 807371000 | Medicaid | ID | |
| 807385700 | Medicaid | ID | |
| 804258900 | Medicaid | ID | |
| 002265000 | Medicaid | ID | |
| 807385500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-2754 (Idaho) | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (* (Not Available)) | Primary |
William R. Bozarth, M.d., P.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 6th St, Suite 102, Lewiston, ID 83501 Phone: 208-746-3320 Fax: 208-746-8717 | |
Serenity Treatment Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Main St Ste 101, Lewiston, ID 83501 Phone: 208-743-5906 Fax: 833-264-6643 | |
Ascendant Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Adams Ln, Lewiston, ID 83501 Phone: 208-310-9220 | |
Phillips Agency, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Bryden Ave, Lewiston, ID 83501 Phone: 208-746-7266 Fax: 208-798-5169 | |
Bruns Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 17th St, Lewiston, ID 83501 Phone: 208-746-3398 | |
Kristy Kuehfuss, Phd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1418 Grelle Ave, Lewiston, ID 83501 Phone: 208-631-5843 | |
Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 F St, Lewiston, ID 83501 Phone: 208-799-4440 Fax: 208-799-5171 |