| Lisa Morales, | |
|
210 W Burnside Ave, Suite A, Chubbuck, ID 83202 | |
| (208) 238-9000 | |
| (208) 238-9002 |
| Full Name | Lisa Morales |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 210 W Burnside Ave, Chubbuck, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518117860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | LCPC5146 (Idaho) | Primary |
| Entity Name | Mental Health Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548585458 PECOS PAC ID: 1658665427 Enrollment ID: O20160802003169 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Morales, 210 W Burnside Ave, Suite A, Chubbuck, ID 83202 Ph: (208) 238-9000 | Lisa Morales, 210 W Burnside Ave, Suite A, Chubbuck, ID 83202 Ph: (208) 238-9000 |
Lavon Marie Cole, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 |
Nancy Bentley, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 |
Landon Duval, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 |
David Averill, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 Kings Way Ste 2, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-5192 |
Sara Stengel, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 387 Chesapeake Ave, Chubbuck, ID 83202 Phone: 208-352-6486 |
Austin Job, PARAPROFESSIONAL Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 |
Heather Neaman, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 |