| Resiliency Rising Llc | |
|
208 Spruce Ave. N. Ketchum ID 83340 | |
| (208) 481-4639 | |
| Not Available |
| Full Name | Resiliency Rising Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 208 Spruce Ave. N., Ketchum, Idaho |
| Authorized Official Name and Position | Laurie Strand (OWNER) |
| Authorized Official Contact | 2084814639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resiliency Rising Llc Po Box 426 Hailey ID 83333-0400 Ph: (208) 481-4639 | Resiliency Rising Llc 208 Spruce Ave. N. Ketchum ID 83340 Ph: (208) 481-4639 |
| NPI Number | 1265216436 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265216436 | NPI | - | NPPES |
| 39026 | Other | UNITED MEDICAL RESOURCES | |
| 93029 | Other | ID | PACIFICSOURCE HEALTH PLANS |
| IDBLC | Other | ID | BLUE CROSS BLUE SHIELD OF IDAHO |
| NCBLS | Other | ID | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA |
| RGBLS | Other | ID | REGENCE BLUE SHIELD OF WASHINGTON |
| IDBLS | Other | ID | BLUE SHIELD OF IDAHO |
| RGA01 | Other | REGENCE GROUP ADMINISTRATORS | |
| UH107 | Other | SELECTHEALTH | |
| 39026 | Other | UMR | |
| SX155 | Other | ID | MOUNTAIN HEALTH CO-OP |
| 84076 | Other | SINCLAIR HEALTH PLAN | |
| IDBLC | Other | BLUE CROSS OF IDAHO | |
| WABLC | Other | WASHINGTON STATE PREMERA BLUE CROSS | |
| 60054 | Other | ID | AETNA |
| SX155 | Other | UNIVERSITY OF UTAH HEALTH PLANS | |
| SX155 | Other | UNIVERSITY OF UTAH | |
| BC001 | Other | ANTHEM BLUE CROSS OF CALIFORNIA | |
| UH107 | Other | SELECT HEALTH IHC INTERMOUNTAIN HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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