| Another Chance Counseling, Pllc | |
| 
					6126 W State St Ste 109 Boise ID 83703-2741  | |
| (208) 850-9846 | |
| (208) 321-5539 | 
| Full Name | Another Chance Counseling, Pllc | 
|---|---|
| Speciality | Counselor | 
| Location | 6126 W State St Ste 109, Boise, Idaho | 
| Authorized Official Name and Position | Suzanne Buchanan (OWNER/FOUNDER) | 
| Authorized Official Contact | 2088509846 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Another Chance Counseling, Pllc 6126 W State St Ste 109 Boise ID 83703-2741 Ph: (208) 850-9846  | Another Chance Counseling, Pllc 6126 W State St Ste 109 Boise ID 83703-2741 Ph: (208) 850-9846  | 
| NPI Number | 1558801589 | 
|---|---|
| Provider Enumeration Date | 02/23/2017 | 
| Last Update Date | 12/19/2024 | 
| Certification Date | 12/19/2024 | 
| Medicare PECOS PAC ID | 6901227396 | 
|---|---|
| Medicare Enrollment ID | O20200611001595 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558801589 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCSW21765 (Idaho) | Primary | 
| Provider Name | Laura E Root | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1023171428 PECOS PAC ID: 9537126941 Enrollment ID: I20041217000227  | 
| Provider Name | Kacey Saresa Mcdonnell | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1750035762 PECOS PAC ID: 7810426368 Enrollment ID: I20250128004107  | 
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