| Glidden Counseling, Llc | |
|
1224 Washington Ave Ste 205 Sandpoint ID 83864-5055 | |
| (208) 597-0994 | |
| (208) 701-6277 |
| Full Name | Glidden Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1224 Washington Ave Ste 205, Sandpoint, Idaho |
| Authorized Official Name and Position | Brom Glidden (OWNER) |
| Authorized Official Contact | 2085970994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glidden Counseling, Llc 1106 Poplar St. Sandpoint ID 83864 Ph: (208) 597-0994 | Glidden Counseling, Llc 1224 Washington Ave Ste 205 Sandpoint ID 83864-5055 Ph: (208) 597-0994 |
| NPI Number | 1467002923 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Medicare PECOS PAC ID | 9032561378 |
|---|---|
| Medicare Enrollment ID | O20240123000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467002923 | NPI | - | NPPES |
| 807651800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| Provider Name | Brom Joshua Phillip Glidden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154694792 PECOS PAC ID: 0941652283 Enrollment ID: I20240123000475 |
Pennyfarthing Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Cedar St, Ste A, Sandpoint, ID 83864 Phone: 208-255-1617 | |
Summit Children's Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Highway 2 Ste 212, Sandpoint, ID 83864 Phone: 208-254-0682 | |
Regenerize Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 S Olive Ave, Sandpoint, ID 83864 Phone: 209-677-7747 | |
Alliance Family Services North, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 S Division Ave, Sandpoint, ID 83864 Phone: 208-265-5049 | |
Brianna Thoreson, Msw, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 S Euclid Ave Ste 111, Sandpoint, ID 83864 Phone: 208-263-4477 Fax: 208-263-4478 | |
Sequel Alliance Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 S Division Ave, Sandpoint, ID 83864 Phone: 208-265-8195 Fax: 208-265-8327 | |
Seven Peaks Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Fourth Ave Ste 103, Sandpoint, ID 83864 Phone: 208-920-5600 Fax: 208-298-3837 |