| Embracing Within Counseling Services Llc | |
|
9474 W Fairview Ave Boise ID 83704-8101 | |
| (208) 509-0057 | |
| Not Available |
| Full Name | Embracing Within Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9474 W Fairview Ave, Boise, Idaho |
| Authorized Official Name and Position | Deborah Carson (OWNER) |
| Authorized Official Contact | 2085090057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embracing Within Counseling Services Llc 8265 Irie Ln Middleton ID 83644-4802 Ph: (208) 509-0057 | Embracing Within Counseling Services Llc 9474 W Fairview Ave Boise ID 83704-8101 Ph: (208) 509-0057 |
| NPI Number | 1053191791 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/01/2023 |
| Medicare PECOS PAC ID | 5092161455 |
|---|---|
| Medicare Enrollment ID | O20231023000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053191791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah A Carson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801320254 PECOS PAC ID: 0446631485 Enrollment ID: I20220721002009 |
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