Chantel Lee Wallace, - Counselor in Blackfoot, ID

Chantel Lee Wallace, is a Counselor - Mental Health based in Blackfoot, Idaho. Chantel Lee Wallace is licensed to practice in Idaho (license number LMSW-43731) and her current practice location is 581 N Ash St, Blackfoot, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 973-5077.

NPI number for Chantel Lee Wallace is 1669234308 and her current mailing address is 581 N Ash St, Blackfoot, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669234308.

Contact Information

Chantel Lee Wallace,
581 N Ash St,
Blackfoot, ID 83221-2223
(208) 973-5077
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameChantel Lee Wallace
GenderFemale
SpecialityCounselor - Mental Health
Location581 N Ash St, Blackfoot, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669234308
  • Provider Enumeration Date: 01/29/2024
  • Last Update Date: 01/29/2024

Medical Identifiers

Medical identifiers for Chantel Lee Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669234308NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LMSW-43731 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chantel Lee Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chantel Lee Wallace,
581 N Ash St,
Blackfoot, ID 83221-2223

Ph: (208) 973-5077
Chantel Lee Wallace,
581 N Ash St,
Blackfoot, ID 83221-2223

Ph: (208) 973-5077

Reviews and Comments


Counselor in Blackfoot, ID

Shayna Kearn Norton, LMFT, CADC
Counselor
Medicare: Medicare Enrolled
Practice Location: 288 N Shilling Ave, Blackfoot, ID 83221
Phone: 208-785-1047    
Ms. Suzanne Godfrey, LCPC, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 98 Poplar St, Third Floor, Blackfoot, ID 83221
Phone: 208-785-3800    Fax: 208-785-3876
Kimberley Sweet, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 720 East Alice Street, Blackfoot, ID 83221
Phone: 208-785-5874    
David Scott Hurst, LPC, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1309 Camas St, Blackfoot, ID 83221
Phone: 208-782-0678    
Dallen Ray Bell, LMSW
Counselor
Medicare: Medicare Enrolled
Practice Location: 1309 Camas St, Blackfoot, ID 83221
Phone: 208-782-0675    Fax: 208-782-0678
Mrs. Kathleen S Tomazin, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 90 W Judicial St, Blackfoot, ID 83221
Phone: 208-782-2060    Fax: 208-782-0209
Ruby Lee Walker, LPCP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    

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