| Ryan Hale Counseling | |
|
1312 S Washington Ave Ste 3 Emmett ID 83617-3596 | |
| (208) 481-4461 | |
| (208) 369-4191 |
| Full Name | Ryan Hale Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 1312 S Washington Ave Ste 3, Emmett, Idaho |
| Authorized Official Name and Position | Luther R Hale (PROVIDER/OWNER) |
| Authorized Official Contact | 2084814461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Hale Counseling 1312 S Washington Ave Ste 3 Emmett ID 83617-3596 Ph: (208) 481-4461 | Ryan Hale Counseling 1312 S Washington Ave Ste 3 Emmett ID 83617-3596 Ph: (208) 481-4461 |
| NPI Number | 1811650468 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 7719330323 |
|---|---|
| Medicare Enrollment ID | O20240131001197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811650468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Luther Ryan Hale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285963223 PECOS PAC ID: 1759417488 Enrollment ID: I20100331001205 |
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