| Melissa D Syria, LCPC | |
|
Po Box 306, Fort Hall, ID 83203-0306 | |
| (208) 478-4026 | |
| Not Available |
| Full Name | Melissa D Syria |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | Po Box 306, Fort Hall, Idaho |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790028983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 5148 (Idaho) | Primary |
| Entity Name | Shoshone Bannock Tribes, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225414519 PECOS PAC ID: 5496804429 Enrollment ID: O20190619001470 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa D Syria, LCPC Po Box 306, Fort Hall, ID 83203-0306 Ph: (208) 478-4026 | Melissa D Syria, LCPC Po Box 306, Fort Hall, ID 83203-0306 Ph: (208) 478-4026 |
Sandra Ortiz, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Pima Drive, Fort Hall, ID 83203 Phone: 208-238-2400 Fax: 208-238-5462 |
Gary Dale Conder, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Pima Drive, Fort Hall, ID 83203 Phone: 208-238-2400 Fax: 208-238-5462 |
Ms. Scotti L Brownley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Mission Road Bldg 248, Fort Hall Indian Agency, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796 |
Nava Reneda, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: East Agency Rd, Fort Hall, ID 83203 Phone: 208-238-2400 Fax: 208-238-5462 |