| Hand In Hand Behavioral Health | |
|
6305 W Overland Rd Boise ID 83709-3029 | |
| (208) 605-3663 | |
| (208) 550-3241 |
| Full Name | Hand In Hand Behavioral Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 6305 W Overland Rd, Boise, Idaho |
| Authorized Official Name and Position | Maria Zelaya- Johnston (CO-OWNER) |
| Authorized Official Contact | 4056578575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hand In Hand Behavioral Health 6305 W Overland Rd Boise ID 83709-3029 Ph: (208) 605-3663 | Hand In Hand Behavioral Health 6305 W Overland Rd Boise ID 83709-3029 Ph: (208) 605-3663 |
| NPI Number | 1154817021 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Medicare PECOS PAC ID | 3971906819 |
|---|---|
| Medicare Enrollment ID | O20210729001258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154817021 | NPI | - | NPPES |
| Provider Name | Jaimee K Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861794026 PECOS PAC ID: 0244405546 Enrollment ID: I20111215000314 |
| Provider Name | Lynnette M Khandaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396292421 PECOS PAC ID: 8123307105 Enrollment ID: I20190625001979 |
| Provider Name | Rebecca Lynn Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770119422 PECOS PAC ID: 3870924368 Enrollment ID: I20200518001357 |
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