Sos For Families, Llc | |
1810 E Schneidmiller Ave Ste 141 Post Falls ID 83854-7989 | |
(208) 981-0515 | |
(208) 981-0514 |
Full Name | Sos For Families, Llc |
---|---|
Speciality | Social Worker |
Location | 1810 E Schneidmiller Ave Ste 141, Post Falls, Idaho |
Authorized Official Name and Position | Benny Kell Henson (OWNER/THERAPIST) |
Authorized Official Contact | 2086404339 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sos For Families, Llc 536 S Kelly Rd Coeur D Alene ID 83814-7194 Ph: (208) 640-4339 | Sos For Families, Llc 1810 E Schneidmiller Ave Ste 141 Post Falls ID 83854-7989 Ph: (208) 981-0515 |
NPI Number | 1649807298 |
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Provider Enumeration Date | 03/24/2020 |
Last Update Date | 03/24/2020 |
Certification Date | 03/24/2020 |
Medicare PECOS PAC ID | 1658781182 |
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Medicare Enrollment ID | O20201112001550 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649807298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Benny Henson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013317635 PECOS PAC ID: 2567872005 Enrollment ID: I20201125002575 |
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