Stephanie Lee Smith, LPC | |
210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | |
(208) 238-9000 | |
Not Available |
Full Name | Stephanie Lee Smith |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 210 W Burnside Ave Ste A, 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 |
---|---|---|---|
1285149732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC-9227 (Idaho) | Primary |
Entity Name | Mental Health Specialists |
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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 |
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Stephanie Lee Smith, LPC 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 Ph: (208) 238-9000 | Stephanie Lee Smith, LPC 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 Ph: (208) 238-9000 |
Lavon Marie Cole, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
Nancy Bentley, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, 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 | |
Heather Neaman, LPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
Nicholas Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4737 S Afton Pl Ste A, Chubbuck, ID 83202 Phone: 208-417-0623 | |
Jade Letourneau, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-237-1711 |