| Take Heart Counseling Idaho | |
|
139 River Vista Pl Ste 201 Twin Falls ID 83301-3060 | |
| (208) 421-0238 | |
| Not Available |
| Full Name | Take Heart Counseling Idaho |
|---|---|
| Speciality | Clinic/Center |
| Location | 139 River Vista Pl Ste 201, Twin Falls, Idaho |
| Authorized Official Name and Position | Carolyn Louise Jones (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2084210238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Take Heart Counseling Idaho 4523 Kanaka Ct Buhl ID 83316-5162 Ph: (208) 421-0238 | Take Heart Counseling Idaho 139 River Vista Pl Ste 201 Twin Falls ID 83301-3060 Ph: (208) 421-0238 |
| NPI Number | 1700575024 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 06/17/2023 |
| Certification Date | 06/17/2023 |
| Medicare PECOS PAC ID | 6305204629 |
|---|---|
| Medicare Enrollment ID | O20230620000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700575024 | NPI | - | NPPES |
| Provider Name | Carolyn L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104078534 PECOS PAC ID: 5698900280 Enrollment ID: I20190425002858 |
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