| Diane Smith, | |
|
2131 S Bonito Way, Meridian, ID 83642-1659 | |
| (208) 202-4732 | |
| Not Available |
| Full Name | Diane Smith |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 2131 S Bonito Way, 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 |
|---|---|---|---|
| 1003329905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LCPC-8350 (Idaho) | Primary |
| 101Y00000X | Counselor | C7279 (Oregon) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| Entity Name | Hbs Of Meridian Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003397878 PECOS PAC ID: 9436402138 Enrollment ID: O20190114000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Smith, 2131 S Bonito Way, Meridian, ID 83642-1659 Ph: (208) 202-4732 | Diane Smith, 2131 S Bonito Way, Meridian, ID 83642-1659 Ph: (208) 202-4732 |
Gregory M Deitchler, MA L.M.F.T., L.P.C., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3061 S. Meridian Rd., Suite 100, Meridian, ID 83642 Phone: 208-350-0330 Fax: 208-576-6915 | |
Mrs. Chris Zukowski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 S Topaz Way, Meridian, ID 83642 Phone: 208-888-3151 | |
Tami Marie Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3597 E Monarch Sky Ln Ste F-240, Meridian, ID 83646 Phone: 208-890-7165 | |
Courtney S. Johnson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1047 S Wells St, Meridian, ID 83642 Phone: 208-670-5551 | |
Shelby Martini, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 W Ustick Rd Ste 120, Meridian, ID 83646 Phone: 208-506-0520 | |
Chad Gold, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2950 E Magic View Dr Ste 192, Meridian, ID 83642 Phone: 208-843-4003 |