| Donavan Alyse Fitch, LPC | |
|
148 S Cole Rd, Boise, ID 83709-0932 | |
| (208) 683-8320 | |
| Not Available |
| Full Name | Donavan Alyse Fitch |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 148 S Cole Rd, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407626138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-9595 (Idaho) | Secondary |
| 101YP2500X | Counselor - Professional | LPC-9595 (Idaho) | Primary |
| Entity Name | Northend Wellness LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306230958 PECOS PAC ID: 2163720848 Enrollment ID: O20160413000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Donavan Alyse Fitch, LPC 148 S Cole Rd, Boise, ID 83709-0932 Ph: (208) 683-8320 | Donavan Alyse Fitch, LPC 148 S Cole Rd, Boise, ID 83709-0932 Ph: (208) 683-8320 |
Roxanne L Pickerel, M.S., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Fort St, Boise, ID 83702 Phone: 208-841-8109 Fax: 208-203-1879 |
Mr. Sean J Nixon, LCPC, LMFT, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1655 W Fairview Ave, Suite 115, Boise, ID 83702 Phone: 208-515-7661 Fax: 208-515-7661 |
Ms. Jessica Dee Maitri, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 W Idaho St Ste 250, Boise, ID 83702 Phone: 208-863-8210 |
Mrs. Mary Claire Fery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Orchard St Ste 128, Boise, ID 83705 Phone: 208-918-1283 |
Rachel Marie Piazza Voight, Counselor Medicare: May Accept Medicare Assignments Practice Location: 1075 E Park Blvd, Boise, ID 83712 Phone: 208-381-5970 |
Ms. Terri Turpin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1408 W Hays St, Boise, ID 83702 Phone: 208-429-5730 Fax: 208-336-7125 |
Mr. Charles Edward Vollet, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Robert Street, Suite 101, Boise, ID 83705 Phone: 208-344-0844 Fax: 208-344-0592 |