| Sequel Alliance Family Services, Llc | |
|
14 Emerson Ln Kellogg ID 83837-2454 | |
| (208) 783-0660 | |
| (208) 783-7542 |
| Full Name | Sequel Alliance Family Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 14 Emerson Ln, Kellogg, Idaho |
| Authorized Official Name and Position | Mary Caudle (CBO) |
| Authorized Official Contact | 2568803339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequel Alliance Family Services, Llc 1131 Eagletree Ln Sw Huntsville AL 35801-6478 Ph: (256) 880-3339 | Sequel Alliance Family Services, Llc 14 Emerson Ln Kellogg ID 83837-2454 Ph: (208) 783-0660 |
| NPI Number | 1689097834 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689097834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | W132383 (Idaho) | Primary |
Powder Basin Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Oregon St, Kellogg, ID 83837 Phone: 208-783-0427 Fax: 208-783-1387 | |
Alliance Family Services North, Inc, Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Emerson Ln, Kellogg, ID 83837 Phone: 208-783-0660 | |
Idaho Dept Of Health & Welfare Reg 1 Amh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Wildcat Way, Kellogg, ID 83837 Phone: 208-784-1351 Fax: 208-784-1356 | |
Heritage Mountain Health Kellogg Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 087-831-2672 Fax: 844-807-3782 | |
A New Hope Social Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-0600 Fax: 208-783-0192 | |
Powder Basin Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Oregon St, Kellogg, ID 83837 Phone: 208-783-0427 Fax: 208-783-1387 |