| Bella-nacole Mental Health Services Llc | |
|
808 N 8th Ave Pocatello ID 83201-5718 | |
| (208) 226-4943 | |
| (208) 242-3892 |
| Full Name | Bella-nacole Mental Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 808 N 8th Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Wendy Jo Webb (OWNER) |
| Authorized Official Contact | 2082264943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella-nacole Mental Health Services Llc 850 E Young St Pocatello ID 83201-5736 Ph: (208) 220-8606 | Bella-nacole Mental Health Services Llc 808 N 8th Ave Pocatello ID 83201-5718 Ph: (208) 226-4943 |
| NPI Number | 1215432539 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/07/2022 |
| Medicare PECOS PAC ID | 4183972094 |
|---|---|
| Medicare Enrollment ID | O20180809004360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215432539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary B Spraktes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922355049 PECOS PAC ID: 1759533029 Enrollment ID: I20121212000592 |
| Provider Name | Lacy D Lehman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710002100 PECOS PAC ID: 9335388776 Enrollment ID: I20130617000134 |
| Provider Name | Juan Lucero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821463704 PECOS PAC ID: 8123451242 Enrollment ID: I20210708002921 |
| Provider Name | Kilynn L Hainline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073162491 PECOS PAC ID: 4789050113 Enrollment ID: I20221026001005 |
| Provider Name | Shawn K Akina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134217771 PECOS PAC ID: 1355794744 Enrollment ID: I20240201002898 |
Allies Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 E Lander St, Pocatello, ID 83201 Phone: 208-234-2094 Fax: 208-234-2637 | |
Lighthouse For Recovery, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Yellowstone Ave, Suite D, Pocatello, ID 83201 Phone: 208-232-2908 Fax: 208-232-5423 | |
Apex Professional Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Wilson Ave, Suite C-3, Pocatello, ID 83201 Phone: 208-904-0225 Fax: 866-704-4580 | |
Behavioral Reform Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Yellowstone Ave Ste D, Pocatello, ID 83201 Phone: 208-238-9400 Fax: 208-238-9401 | |
Psychological Assessment Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1246 Yellowstone Ave Ste C5, Pocatello, ID 83201 Phone: 208-233-0150 Fax: 208-233-0159 | |
Broncho Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 772 E Ross Fork Road #41, Pocatello, ID 83202 Phone: 208-220-7520 | |
A To Z Family Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Washington Ave, Pocatello, ID 83201 Phone: 208-478-9822 Fax: 208-478-6790 |