| Pawsitive Pathways Psychiatry Llc | |
|
Telemed Only Coeur D Alene ID 83815-8858 | |
| (208) 449-2860 | |
| (208) 601-6125 |
| Full Name | Pawsitive Pathways Psychiatry Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | Telemed Only, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Lauren Taylor Hall (OWNER) |
| Authorized Official Contact | 2084492860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pawsitive Pathways Psychiatry Llc 3707 N Belmont Rd Coeur D Alene ID 83815-8858 Ph: () - | Pawsitive Pathways Psychiatry Llc Telemed Only Coeur D Alene ID 83815-8858 Ph: (208) 449-2860 |
| NPI Number | 1790566222 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/03/2024 |
| Medicare PECOS PAC ID | 1951758051 |
|---|---|
| Medicare Enrollment ID | O20231110002381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790566222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lauren Taylor Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679127245 PECOS PAC ID: 1850621962 Enrollment ID: I20231113001958 |
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