| Cindy Wade, LCPC | |
|
500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | |
| (208) 232-3355 | |
| (855) 230-7350 |
| Full Name | Cindy Wade |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 500 S 11th Ave Ste 204, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639526932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC-8142 (Idaho) | Secondary |
| 101YM0800X | Counselor - Mental Health | LCPC-8142 (Idaho) | Primary |
| Entity Name | Health West Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033595541 PECOS PAC ID: 4981500931 Enrollment ID: O20031210000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Cindy Wade, LCPC 500 S 11th Ave Ste 400, Pocatello, ID 83201-4880 Ph: (208) 232-7862 | Cindy Wade, LCPC 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 Ph: (208) 232-3355 |
Ms. Dedra Christine Sanna, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035 | |
Courtney Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Garrett Way, Ste 2, Pocatello, ID 83201 Phone: 208-233-7832 | |
Christina Strauch, SE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1246 Yellowstone Ave Ste C5, Pocatello, ID 83201 Phone: 208-233-0150 Fax: 208-233-0159 | |
Lisa Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Main St, Pocatello, ID 83204 Phone: 208-232-8840 | |
Ms. Rit Larae Nauman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3330 Highway 30 W, Pocatello, ID 83201 Phone: 208-234-9100 Fax: 208-234-9104 | |
Michael L Stevens, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 109 N Arthur Ave Ste 203, Pocatello, ID 83204 Phone: 208-234-4673 Fax: 208-234-4677 | |
Mrs. Cassidy Michelle Roske, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035 |