| Tanya Goodrich, MA | |
|
1047 S Wells St, Meridian, ID 83642-7997 | |
| (208) 863-0045 | |
| Not Available |
| Full Name | Tanya Goodrich |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1047 S Wells St, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164615464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT-7452 (Idaho) | Primary |
| Entity Name | Cross Creek Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295512929 PECOS PAC ID: 0446783104 Enrollment ID: O20241101003056 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Goodrich, MA 1047 S Wells St, Meridian, ID 83642-7997 Ph: (208) 863-0045 | Tanya Goodrich, MA 1047 S Wells St, Meridian, ID 83642-7997 Ph: (208) 863-0045 |
Joseph John Andersen, M.S. LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 667 E Grouse Ct, Meridian, ID 83646 Phone: 208-283-9888 | |
Mrs. Kendra Woolstenhulme, LCMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3401 Nw 12th Ave, Meridian, ID 83646 Phone: 202-681-2277 | |
Joseph Smart, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3288 E Pine Ave, Meridian, ID 83642 Phone: 208-871-5649 Fax: 208-658-0153 | |
Brionne Porter Chamberlain, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1548 W Cayuse Creek Dr Ste 100, Meridian, ID 83646 Phone: 208-600-2072 | |
Jeanne Anderson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1548 W Cayuse Creek Dr Ste 100, Meridian, ID 83646 Phone: 208-586-1626 | |
Molly Nordstrom Hill, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1548 W Cayuse Creek Dr Ste 100, Meridian, ID 83646 Phone: 208-600-2072 |