Pioneer Counseling Services, Llc | |
819 Hwy 2 Suite 211 Sandpoint ID 83864-1678 | |
(208) 263-4145 | |
(208) 263-4145 |
Full Name | Pioneer Counseling Services, Llc |
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Speciality | Community/Behavioral Health |
Location | 819 Hwy 2, Sandpoint, Idaho |
Authorized Official Name and Position | Barbara Ann Thompson (OWNER/THERAPIST) |
Authorized Official Contact | 2082634145 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pioneer Counseling Services, Llc 819 Hwy 2 Suite 211 Sandpoint ID 83864-1678 Ph: (208) 263-4145 | Pioneer Counseling Services, Llc 819 Hwy 2 Suite 211 Sandpoint ID 83864-1678 Ph: (208) 263-4145 |
NPI Number | 1225701360 |
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Provider Enumeration Date | 07/26/2021 |
Last Update Date | 07/26/2021 |
Certification Date | 07/26/2021 |
Medicare PECOS PAC ID | 5799181608 |
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Medicare Enrollment ID | O20210901000587 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225701360 | NPI | - | NPPES |
1407218209 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Barbara Ann Thompson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407218209 PECOS PAC ID: 6608272513 Enrollment ID: I20210901000649 |
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