| Living Water Youth Ranch | |
|
8382 N Wayne Dr Ste 201 Hayden ID 83835-6028 | |
| (208) 762-8777 | |
| Not Available |
| Full Name | Living Water Youth Ranch |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8382 N Wayne Dr Ste 201, Hayden, Idaho |
| Authorized Official Name and Position | Marissa Mccreary (OFFICE MANAGER) |
| Authorized Official Contact | 2089811992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Water Youth Ranch 8382 N Wayne Dr Ste 201 Hayden ID 83835-6028 Ph: (208) 762-8777 | Living Water Youth Ranch 8382 N Wayne Dr Ste 201 Hayden ID 83835-6028 Ph: (208) 762-8777 |
| NPI Number | 1528795093 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 08/04/2022 |
| Certification Date | 08/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528795093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Transformation Mental Health Therapy, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 843 Placer Ct, Hayden, ID 83835 Phone: 208-704-0342 Fax: 888-892-2509 | |
Coeur Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9494 N Government Way, Hayden, ID 83835 Phone: 208-277-7873 | |
True North Counseling And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8382 N Wayne Dr Ste 103b, Hayden, ID 83835 Phone: 208-660-9332 | |
Brave Connections Mental Health Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8680 N Wayne Dr Ste A, Hayden, ID 83835 Phone: 208-627-7818 Fax: 208-635-5908 | |
We Care Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 W Prairie Ave, Hayden, ID 83835 Phone: 208-967-5608 | |
Amaris Associates, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13403 N Government Way Unit 308, Hayden, ID 83835 Phone: 208-274-3084 | |
Poot Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1286 W Leisure Dr, Hayden, ID 83835 Phone: 360-421-2520 |