| Family Services, Pllc | |
|
2007 E Quail Run Rd Ste 2 Emmett ID 83617-5059 | |
| (208) 365-2525 | |
| (208) 365-2234 |
| Full Name | Family Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2007 E Quail Run Rd Ste 2, Emmett, Idaho |
| Authorized Official Name and Position | Melissa Mahealani Paller (OWNER) |
| Authorized Official Contact | 2083652525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Services, Pllc Po Box 981 Emmett ID 83617-0981 Ph: (208) 365-2525 | Family Services, Pllc 2007 E Quail Run Rd Ste 2 Emmett ID 83617-5059 Ph: (208) 365-2525 |
| NPI Number | 1861702011 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 10/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861702011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-29299 (Idaho) | Primary |
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