| Another Chance Counseling, Pllc | |
|
6126 W State St Ste 310 Boise ID 83703-2741 | |
| (208) 850-9846 | |
| (208) 321-5539 |
| Full Name | Another Chance Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 6126 W State St Ste 310, 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 310 Boise ID 83703-2741 Ph: (208) 850-9846 | Another Chance Counseling, Pllc 6126 W State St Ste 310 Boise ID 83703-2741 Ph: (208) 850-9846 |
| NPI Number | 1558801589 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| 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 |
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