| Lacey Haggan-galloway, LMFT | |
|
470 W Mendi Pl, Kuna, ID 83634-1997 | |
| (208) 613-0140 | |
| Not Available |
| Full Name | Lacey Haggan-galloway |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 470 W Mendi Pl, Kuna, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508486481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT-7191 (Idaho) | Primary |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Haggan-galloway, LMFT 1776 N Madderlake Ave Apt 1, Kuna, ID 83634-1668 Ph: (208) 613-0140 | Lacey Haggan-galloway, LMFT 470 W Mendi Pl, Kuna, ID 83634-1997 Ph: (208) 613-0140 |
Mr. Jim Anderson Grigg, LCPC, LMFT Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 145 E Deer Flat Rd, Kuna, ID 83634 Phone: 208-922-9001 Fax: 208-922-3778 | |
Susan Diane Cane, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 693 E Wythe Creek Ct # 156, Kuna, ID 83634 Phone: 208-982-2187 | |
Mrs. Jennifer Monette Logan, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3038 W Dark Sky St, Kuna, ID 83634 Phone: 805-870-5715 |