| Sagebrush Therapeutic Services Pllc | |
|
540 N 18th St Payette ID 83661-2776 | |
| (208) 582-2883 | |
| Not Available |
| Full Name | Sagebrush Therapeutic Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 540 N 18th St, Payette, Idaho |
| Authorized Official Name and Position | Michael Lape (CLINICIAN/OWNER) |
| Authorized Official Contact | 2085822883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sagebrush Therapeutic Services Pllc 540 N 18th St Payette ID 83661-2776 Ph: (208) 582-2883 | Sagebrush Therapeutic Services Pllc 540 N 18th St Payette ID 83661-2776 Ph: (208) 582-2883 |
| NPI Number | 1396485009 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396485009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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