| Edward Davis, MS | |
|
119 W Main St, Emmett, ID 83617-2935 | |
| (986) 895-4507 | |
| (208) 277-3133 |
| Full Name | Edward Davis |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 119 W Main St, Emmett, Idaho |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083340137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 8331398 (Idaho) | Primary |
| 101YP2500X | Counselor - Professional | PC019860 (Pennsylvania) | Secondary |
| Entity Name | Clear Mind Health Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841159464 PECOS PAC ID: 1557844958 Enrollment ID: O20260313002044 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Davis, MS 8401 W Idaho Blvd, Letha, ID 83636-7706 Ph: (986) 895-4507 | Edward Davis, MS 119 W Main St, Emmett, ID 83617-2935 Ph: (986) 895-4507 |
Stephanie Ann Sternes, LCPC, LAMFT, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1016 E Locust St, Emmett, ID 83617 Phone: 208-918-0054 Fax: 844-696-1471 |
April Browne, LCSW CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2031 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-2525 Fax: 208-365-2234 |
Ms. Randi Jo Korell, MS LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 N Commercial, Emmett, ID 83617 Phone: 208-398-8473 Fax: 208-398-8311 |
Samantha Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2031 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-2525 |
Shane Weideman, Counselor Medicare: Accepting Medicare Assignments Practice Location: 2007 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-5445 |
Danielle Dominique Langley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 E Sales Yard Rd, Emmett, ID 83617 Phone: 208-329-8421 |
Jill Janay Sprague, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 829b S Washington Ave, Emmett, ID 83617 Phone: 208-365-3141 Fax: 208-398-8311 |