Mr David Tim Williams, MS | |
224 S. Arthur Suite 2, Pocatello, ID 83204 | |
(208) 242-3771 | |
(208) 242-3772 |
Full Name | Mr David Tim Williams |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 224 S. Arthur Suite 2, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750803110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LCPC-8678 (Idaho) | Secondary |
101Y00000X | Counselor | COUI-6369 (Idaho) | Primary |
Entity Name | High Country Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295379865 PECOS PAC ID: 0648454587 Enrollment ID: O20200228002021 |
Mailing Address | Practice Location Address |
---|---|
Mr David Tim Williams, MS 224 S Arthur Ave Ste 2, Pocatello, ID 83204-3202 Ph: (208) 242-3771 | Mr David Tim Williams, MS 224 S. Arthur Suite 2, Pocatello, ID 83204 Ph: (208) 242-3771 |
Ms. Dedra Christine Sanna, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035 | |
Courtney Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Garrett Way, Ste 2, Pocatello, ID 83201 Phone: 208-233-7832 | |
Christina Strauch, SE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1246 Yellowstone Ave Ste C5, Pocatello, ID 83201 Phone: 208-233-0150 Fax: 208-233-0159 | |
Ms. Rit Larae Nauman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3330 Highway 30 W, Pocatello, ID 83201 Phone: 208-234-9100 Fax: 208-234-9104 | |
Michael L Stevens, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 109 N Arthur Ave Ste 203, Pocatello, ID 83204 Phone: 208-234-4673 Fax: 208-234-4677 | |
Mrs. Cassidy Michelle Roske, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035 | |
Matthew R Christensen, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 5230 W Moonlight Mine Rd., Pocatello, ID 83201 Phone: 208-351-3956 |