| Introspective Counseling & Consulting Llc | |
|
410 S Orchard St Ste 128 Boise ID 83705-1288 | |
| (208) 252-5009 | |
| Not Available |
| Full Name | Introspective Counseling & Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 410 S Orchard St Ste 128, Boise, Idaho |
| Authorized Official Name and Position | Amanda Sue Helsley (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2082525009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Introspective Counseling & Consulting Llc 10400 W Overland Rd # 278 Boise ID 83709-1433 Ph: (208) 252-5009 | Introspective Counseling & Consulting Llc 410 S Orchard St Ste 128 Boise ID 83705-1288 Ph: (208) 252-5009 |
| NPI Number | 1952947822 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Medicare PECOS PAC ID | 4385079532 |
|---|---|
| Medicare Enrollment ID | O20200115002422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952947822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda S Helsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265838601 PECOS PAC ID: 5294079125 Enrollment ID: I20181204002929 |
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