| Redefined Counseling And Consulting | |
|
128 N Washington Ave Emmett ID 83617-2973 | |
| (208) 817-1029 | |
| Not Available |
| Full Name | Redefined Counseling And Consulting |
|---|---|
| Speciality | Clinic/Center |
| Location | 128 N Washington Ave, Emmett, Idaho |
| Authorized Official Name and Position | Stephanie K Smith (OWNER) |
| Authorized Official Contact | 2088171029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redefined Counseling And Consulting Po Box 574 Emmett ID 83617-0574 Ph: (208) 817-1029 | Redefined Counseling And Consulting 128 N Washington Ave Emmett ID 83617-2973 Ph: (208) 817-1029 |
| NPI Number | 1710745427 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 5890238117 |
|---|---|
| Medicare Enrollment ID | O20240614002496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710745427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stephanie Kay Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770076481 PECOS PAC ID: 6709329022 Enrollment ID: I20240614002626 |
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