| Mallory Nehlich, LMSW | |
|
202 E Anton Ave Ste 206, Coeur D Alene, ID 83815-3779 | |
| (208) 667-6095 | |
| Not Available |
| Full Name | Mallory Nehlich |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 202 E Anton Ave Ste 206, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285986703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMSW-31712 (Idaho) | Primary |
| Entity Name | Lookout Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700394822 PECOS PAC ID: 9830453752 Enrollment ID: O20180501001021 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Nehlich, LMSW 202 E Anton Ave Ste 206, Coeur D Alene, ID 83815-3779 Ph: (208) 667-6095 | Mallory Nehlich, LMSW 202 E Anton Ave Ste 206, Coeur D Alene, ID 83815-3779 Ph: (208) 667-6095 |
Joshua Michael Raybell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 N Ironwood Pkwy Ste 222, Coeur D Alene, ID 83814 Phone: 208-964-6510 | |
Martina Folowell Nix, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5255 Fax: 833-428-5578 | |
Dr. Billie Jo Davis, PH.D., BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Ironwood Dr., Suite D Pmd 106, Coeur D Alene, ID 83815 Phone: 208-699-2595 | |
Kelly Mitchell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1022 N 4th St Ste 101, Coeur D Alene, ID 83814 Phone: 208-457-2909 | |
Mrs. Jacqueline Lee Butera, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 W Ironwood Dr, Suite 101, Coeur D Alene, ID 83814 Phone: 208-664-9729 Fax: 208-263-7515 | |
Mrs. Danielle Nichole Kisler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7905 N Meadowlark Way, Ste A And B, Coeur D Alene, ID 83815 Phone: 208-691-2048 | |
Haley Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 N Lakewood Dr Ste 225, Coeur D Alene, ID 83814 Phone: 775-224-4996 |