| Kelley Kids Ranch, Llc | |
|
602 13th St Lewiston ID 83501-2586 | |
| (208) 675-7350 | |
| Not Available |
| Full Name | Kelley Kids Ranch, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 602 13th St, Lewiston, Idaho |
| Authorized Official Name and Position | Amy T Kelley (OWNER) |
| Authorized Official Contact | 2086757350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Kids Ranch, Llc 1607 17th Ave Lewiston ID 83501-4001 Ph: () - | Kelley Kids Ranch, Llc 602 13th St Lewiston ID 83501-2586 Ph: (208) 675-7350 |
| NPI Number | 1134774680 |
|---|---|
| Provider Enumeration Date | 08/01/2019 |
| Last Update Date | 08/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134774680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
William R. Bozarth, M.d., P.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 6th St, Suite 102, Lewiston, ID 83501 Phone: 208-746-3320 Fax: 208-746-8717 | |
Serenity Treatment Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Main St Ste 101, Lewiston, ID 83501 Phone: 208-743-5906 Fax: 833-264-6643 | |
Ascendant Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Adams Ln, Lewiston, ID 83501 Phone: 208-310-9220 | |
Phillips Agency, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Bryden Ave, Lewiston, ID 83501 Phone: 208-746-7266 Fax: 208-798-5169 | |
Bruns Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 17th St, Lewiston, ID 83501 Phone: 208-746-3398 | |
Kristy Kuehfuss, Phd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1418 Grelle Ave, Lewiston, ID 83501 Phone: 208-631-5843 | |
Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 F St, Lewiston, ID 83501 Phone: 208-799-4440 Fax: 208-799-5171 |