| Atropos Mental Health Llc | |
|
611 Wilson Ave Ste 5 Pocatello ID 83201-5046 | |
| (208) 915-8448 | |
| Not Available |
| Full Name | Atropos Mental Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 611 Wilson Ave Ste 5, Pocatello, Idaho |
| Authorized Official Name and Position | Tracie Lyn Hansen (OWNER) |
| Authorized Official Contact | 2089158448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atropos Mental Health Llc 611 Wilson Ave Ste 5 Pocatello ID 83201-5046 Ph: (208) 915-8448 | Atropos Mental Health Llc 611 Wilson Ave Ste 5 Pocatello ID 83201-5046 Ph: (208) 915-8448 |
| NPI Number | 1316551187 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 2163841016 |
|---|---|
| Medicare Enrollment ID | O20201119002944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316551187 | NPI | - | NPPES |
| Provider Name | Matthew R Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013275544 PECOS PAC ID: 0042629255 Enrollment ID: I20210429000289 |
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