| Conceptual Counseling Llc | |
|
1620 Northwest Blvd Ste 101 Coeur D Alene ID 83814-2488 | |
| (208) 512-5085 | |
| (800) 865-1927 |
| Full Name | Conceptual Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1620 Northwest Blvd Ste 101, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Joyl Jenkins (OWNER) |
| Authorized Official Contact | 2087048064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conceptual Counseling Llc Po Box 3727 Coeur D Alene ID 83816-2529 Ph: () - | Conceptual Counseling Llc 1620 Northwest Blvd Ste 101 Coeur D Alene ID 83814-2488 Ph: (208) 512-5085 |
| NPI Number | 1245882828 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 03/31/2020 |
| Certification Date | 03/31/2020 |
| Medicare PECOS PAC ID | 2860822996 |
|---|---|
| Medicare Enrollment ID | O20200414000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245882828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sharene Heisler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417079856 PECOS PAC ID: 0446326953 Enrollment ID: I20080908000291 |
| Provider Name | Joy'l L Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679824965 PECOS PAC ID: 5991095887 Enrollment ID: I20160613001581 |
| Provider Name | Shelly D Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396274056 PECOS PAC ID: 1951723170 Enrollment ID: I20200617000632 |
| Provider Name | Sarah Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417633199 PECOS PAC ID: 9931542677 Enrollment ID: I20240208004543 |
Ambitions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814 Phone: 208-930-1740 Fax: 208-930-1695 | |
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Idaho Dept Of Health & Welfare Reg 1 Amh Psr Cda Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2195 Ironwood Ct, Coeur D Alene, ID 83814 Phone: 208-769-1406 Fax: 208-769-1430 | |
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