| Melissa Henbest, Llc | |
|
296 W Sunset Ave Ste 15 Coeur D Alene ID 83815-8366 | |
| (208) 666-0357 | |
| (208) 666-0468 |
| Full Name | Melissa Henbest, Llc |
|---|---|
| Speciality | Counselor |
| Location | 296 W Sunset Ave Ste 15, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Melissa Marie Henbest (OWNER) |
| Authorized Official Contact | 2086660357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Henbest, Llc 296 W Sunset Ave Ste 15 Coeur D Alene ID 83815-8366 Ph: (208) 666-0357 | Melissa Henbest, Llc 296 W Sunset Ave Ste 15 Coeur D Alene ID 83815-8366 Ph: (208) 666-0357 |
| NPI Number | 1356923049 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 03/07/2024 |
| Certification Date | 04/22/2021 |
| Medicare PECOS PAC ID | 2365889409 |
|---|---|
| Medicare Enrollment ID | O20240325001518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356923049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Melissa M Henbest |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124591771 PECOS PAC ID: 6901243047 Enrollment ID: I20240325001900 |
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