| Sequel Alliance Family Services, Llc | |
|
89 Homer Dr St Maries ID 83861-5078 | |
| (208) 245-5427 | |
| (208) 245-5427 |
| Full Name | Sequel Alliance Family Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 89 Homer Dr, St Maries, Idaho |
| Authorized Official Name and Position | Mary Caudle (CBO DIRECTOR OF PATIENT ACCOUNTS) |
| 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 89 Homer Dr St Maries ID 83861-5078 Ph: (208) 245-5427 |
| NPI Number | 1215359856 |
|---|---|
| Provider Enumeration Date | 01/16/2014 |
| Last Update Date | 01/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215359856 | NPI | - | NPPES |
| W132383 | Other | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S 7th St, St Maries, ID 83861 Phone: 208-245-2541 Fax: 208-245-7131 | |
Vista Outreach - Psr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 S 7th St, St Maries, ID 83861 Phone: 208-245-1920 Fax: 208-245-9206 | |
Vista Outreach - Mental Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 S 7th St, St Maries, ID 83861 Phone: 208-245-1920 Fax: 208-245-9206 | |
Lone Pine Behavioral Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1030 S 3rd St, St Maries, ID 83861 Phone: 208-274-3430 | |
Alliance Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Homer Dr, St Maries, ID 83861 Phone: 208-245-5427 | |
Heritage Health Restored Paths Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 120 S 13th St, St Maries, ID 83861 Phone: 208-245-4363 Fax: 208-245-4349 |