| Gina M. Beck, Lcsw Pllc | |
|
6451 Mccall St Ste D Bonners Ferry ID 83805-8525 | |
| (208) 255-6937 | |
| Not Available |
| Full Name | Gina M. Beck, Lcsw Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6451 Mccall St Ste D, Bonners Ferry, Idaho |
| Authorized Official Name and Position | Gina Beck (OWNER) |
| Authorized Official Contact | 2082556937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina M. Beck, Lcsw Pllc 6451 Mccall St Ste D Bonners Ferry ID 83805-8525 Ph: (208) 255-6937 | Gina M. Beck, Lcsw Pllc 6451 Mccall St Ste D Bonners Ferry ID 83805-8525 Ph: (208) 255-6937 |
| NPI Number | 1528794690 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 5193101608 |
|---|---|
| Medicare Enrollment ID | O20221007000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528794690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Gina M Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154612216 PECOS PAC ID: 0749458115 Enrollment ID: I20110730000003 |
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