| Hope Tree Inc | |
|
109 N Arthur Ave 203 Pocatello ID 83204-3105 | |
| (208) 234-4673 | |
| (208) 234-4677 |
| Full Name | Hope Tree Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 109 N Arthur Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Laura M Mcniff (OWNER) |
| Authorized Official Contact | 2082344673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Tree Inc 109 N Arthur Ave 203 Pocatello ID 83204-3105 Ph: (208) 234-4673 | Hope Tree Inc 109 N Arthur Ave 203 Pocatello ID 83204-3105 Ph: (208) 234-4673 |
| NPI Number | 1598976045 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3779710876 |
|---|---|
| Medicare Enrollment ID | O20131217001180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598976045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michael L Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013013010 PECOS PAC ID: 4981641578 Enrollment ID: I20050414001018 |
| Provider Name | Aaron L Schaerrer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396042255 PECOS PAC ID: 7012139496 Enrollment ID: I20141119002639 |
| Provider Name | Lisa Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598423931 PECOS PAC ID: 3678922408 Enrollment ID: I20231205003987 |
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