| Hull Integrative Mental Health, Llc | |
|
1205 Highway 2 Ste 202b Sandpoint ID 83864-2434 | |
| (208) 263-4877 | |
| (208) 908-0039 |
| Full Name | Hull Integrative Mental Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1205 Highway 2 Ste 202b, Sandpoint, Idaho |
| Authorized Official Name and Position | Robin Lyn Hull (PROVIDER/ OWNER) |
| Authorized Official Contact | 2082634877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hull Integrative Mental Health, Llc 1205 Highway 2 Ste 202b Sandpoint ID 83864-2434 Ph: (208) 263-4877 | Hull Integrative Mental Health, Llc 1205 Highway 2 Ste 202b Sandpoint ID 83864-2434 Ph: (208) 263-4877 |
| NPI Number | 1881438455 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 06/19/2024 |
| Certification Date | 06/19/2024 |
| Medicare PECOS PAC ID | 6002356854 |
|---|---|
| Medicare Enrollment ID | O20240909001216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881438455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Robin L Hull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346767464 PECOS PAC ID: 7810437662 Enrollment ID: I20240909001271 |
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