| Falls Family Counseling Llc | |
|
745 Reed St American Falls ID 83211-1334 | |
| (208) 244-8771 | |
| Not Available |
| Full Name | Falls Family Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 745 Reed St, American Falls, Idaho |
| Authorized Official Name and Position | Corey Lynn Richardson (OWNER) |
| Authorized Official Contact | 2082448771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Falls Family Counseling Llc 745 Reed St American Falls ID 83211-1334 Ph: (208) 244-8771 | Falls Family Counseling Llc 745 Reed St American Falls ID 83211-1334 Ph: (208) 244-8771 |
| NPI Number | 1821675182 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 03/24/2021 |
| Certification Date | 03/24/2021 |
| Medicare PECOS PAC ID | 9133520117 |
|---|---|
| Medicare Enrollment ID | O20210628003485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821675182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Corey L Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285962779 PECOS PAC ID: 4789867524 Enrollment ID: I20110331000665 |
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