| Rachael Hall, Llc | |
|
8310 Purple Sage Rd Middleton ID 83644-5313 | |
| (208) 830-7781 | |
| Not Available |
| Full Name | Rachael Hall, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8310 Purple Sage Rd, Middleton, Idaho |
| Authorized Official Name and Position | Rachael Hall (OWNER) |
| Authorized Official Contact | 2088307781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachael Hall, Llc 8310 Purple Sage Rd Middleton ID 83644-5313 Ph: (208) 830-7781 | Rachael Hall, Llc 8310 Purple Sage Rd Middleton ID 83644-5313 Ph: (208) 830-7781 |
| NPI Number | 1962869784 |
|---|---|
| Provider Enumeration Date | 01/25/2016 |
| Last Update Date | 01/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962869784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC-3922 (Idaho) | Primary |
Middleton Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 22480 Duff Ln, Middleton, ID 83644 Phone: 208-965-4502 Fax: 208-505-4280 |