| New Dawn Therapy And Consulting | |
|
760 E Warm Springs Ave Ste D Boise ID 83712-6459 | |
| (208) 793-5631 | |
| (208) 225-4995 |
| Full Name | New Dawn Therapy And Consulting |
|---|---|
| Speciality | Clinic/Center |
| Location | 760 E Warm Springs Ave Ste D, Boise, Idaho |
| Authorized Official Name and Position | Julie Ann Hammack (OWNER/CLINICIAN) |
| Authorized Official Contact | 2082836577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Dawn Therapy And Consulting 760 E Warm Springs Ave Ste D Boise ID 83712-6459 Ph: (208) 793-5631 | New Dawn Therapy And Consulting 760 E Warm Springs Ave Ste D Boise ID 83712-6459 Ph: (208) 793-5631 |
| NPI Number | 1104564426 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 11/06/2022 |
| Certification Date | 11/06/2022 |
| Medicare PECOS PAC ID | 5597133561 |
|---|---|
| Medicare Enrollment ID | O20221122003031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104564426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Julie A Hammack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942454293 PECOS PAC ID: 7911181706 Enrollment ID: I20110401000416 |
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