| Keith Idell, Lcsw, P.c. | |
|
5 Allen Ave Ste B Asheville NC 28803-2272 | |
| (828) 200-3739 | |
| (828) 575-2698 |
| Full Name | Keith Idell, Lcsw, P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5 Allen Ave Ste B, Asheville, North Carolina |
| Authorized Official Name and Position | Billy Keith Idell (PRESIDENT/OWNER) |
| Authorized Official Contact | 8282003739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Idell, Lcsw, P.c. 1 Braddock Way Asheville NC 28803-2035 Ph: (828) 200-3739 | Keith Idell, Lcsw, P.c. 5 Allen Ave Ste B Asheville NC 28803-2272 Ph: (828) 200-3739 |
| NPI Number | 1659783058 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 05/20/2014 |
| Medicare PECOS PAC ID | 5698992394 |
|---|---|
| Medicare Enrollment ID | O20140804000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659783058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C201412200314 (North Carolina) | Primary |
| Provider Name | Billy Keith Idell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700131455 PECOS PAC ID: 7214150986 Enrollment ID: I20140804000675 |
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