| Amanda Hall, | |
|
1720 18th Ave, Lewiston, ID 83501-4047 | |
| (208) 746-4097 | |
| Not Available |
| Full Name | Amanda Hall |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 1 Years |
| Location | 1720 18th Ave, Lewiston, Idaho |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144041658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Entity Name | Riverside Recovery LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366827255 PECOS PAC ID: 2567951544 Enrollment ID: O20251029004646 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Hall, 1720 18th Ave, Lewiston, ID 83501-4047 Ph: (208) 746-4097 | Amanda Hall, 1720 18th Ave, Lewiston, ID 83501-4047 Ph: (208) 746-4097 |
Katherine Ann Troutman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-799-6500 Fax: 208-799-6504 |
Mr. Anthony Brian Tenny, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-816-0015 |
Mr. Larry Bearden, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-799-6500 Fax: 208-799-6504 |
Beverly Lynn Fowler, LPC, AADC Counselor Medicare: Medicare Enrolled Practice Location: 2337 3rd Ave N, Lewiston, ID 83501 Phone: 509-444-8200 Fax: 509-434-0392 |
Sara Light Bennett, LCPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-746-4097 Fax: 208-746-2294 |
Ms. Sandra D. Godfrey, MA, LCPC, LMFT Counselor Medicare: Accepting Medicare Assignments Practice Location: 0309 2nd St, Lewiston, ID 83501 Phone: 208-746-0137 Fax: 298-746-8685 |
Crystal Ann Nystrom, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2335 Main St, Lewiston, ID 83501 Phone: 208-791-0129 Fax: 208-743-1170 |