| Ms Holley Reilly Blitz, MA MFT | |
|
4750 N Five Mile Rd, Boise, ID 83713-2715 | |
| (208) 996-0931 | |
| Not Available |
| Full Name | Ms Holley Reilly Blitz |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 4750 N Five Mile Rd, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255437950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT33818 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | LMFT-8097 (Idaho) | Primary |
| Entity Name | Valley Mental Health Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932166980 PECOS PAC ID: 0042121196 Enrollment ID: O20190626002145 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Holley Reilly Blitz, MA MFT 4750 North Mile Road, Boise, ID 83713 Ph: (208) 996-0932 | Ms Holley Reilly Blitz, MA MFT 4750 N Five Mile Rd, Boise, ID 83713-2715 Ph: (208) 996-0931 |
Mr. Sean J Nixon, LCPC, LMFT, NCC Couples Therapy Medicare: Medicare Enrolled Practice Location: 1655 W Fairview Ave, Suite 115, Boise, ID 83702 Phone: 208-515-7661 Fax: 208-515-7661 | |
James Sam Calderhead, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5966 N Bagley Ave, Boise, ID 83703 Phone: 208-631-2040 | |
Dr. Carla Jensen, PHD, LCSW MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 198 S Old Quarry Way, Boise, ID 83709 Phone: 208-914-0877 Fax: 208-321-2773 | |
Marcy Lynn Humphrey, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1524 W Hays St Ste 201, Boise, ID 83702 Phone: 208-481-8546 | |
Patricia R Heeb, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6140 W Emerald St, Boise, ID 83704 Phone: 208-367-6216 Fax: 208-367-3308 | |
Marci M Danielson, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3350 W Americana Ter, Suite 215, Boise, ID 83706 Phone: 208-989-0333 | |
Rebekah Anne Mclean, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2995 N Cole Rd Ste 225, Boise, ID 83704 Phone: 208-614-0588 Fax: 208-203-7432 |