| Park Avenue Counseling Services, Llc | |
|
130 N 3772 E Rigby ID 83442-5316 | |
| (801) 400-4739 | |
| Not Available |
| Full Name | Park Avenue Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 130 N 3772 E, Rigby, Idaho |
| Authorized Official Name and Position | Amanda Peden (CEO) |
| Authorized Official Contact | 8014004739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Counseling Services, Llc 130 N 3772 E Rigby ID 83442-5316 Ph: (801) 400-4739 | Park Avenue Counseling Services, Llc 130 N 3772 E Rigby ID 83442-5316 Ph: (801) 400-4739 |
| NPI Number | 1851757405 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 01/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851757405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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