| Existence Services, Llc | |
|
217 E Putnam Mountain Loop Inkom ID 83245-1767 | |
| (208) 223-6211 | |
| Not Available |
| Full Name | Existence Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 217 E Putnam Mountain Loop, Inkom, Idaho |
| Authorized Official Name and Position | Whitney Harris (OWNER/CLINICIAN) |
| Authorized Official Contact | 2082236211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Existence Services, Llc 217 E Putnam Mountain Loop Inkom ID 83245-1767 Ph: (208) 223-6211 | Existence Services, Llc 217 E Putnam Mountain Loop Inkom ID 83245-1767 Ph: (208) 223-6211 |
| NPI Number | 1003697376 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Medicare PECOS PAC ID | 9234664681 |
|---|---|
| Medicare Enrollment ID | O20241122000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003697376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Whitney W. Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518297985 PECOS PAC ID: 2365974425 Enrollment ID: I20241014003043 |
Thrive Psychology Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2202 E Green Canyon Rd, Inkom, ID 83245 Phone: 208-244-0108 |