| Kh Counseling & Health Center, Llc | |
|
101 Empty Saddle Trl Ste 120 Hailey ID 83333-8437 | |
| (208) 720-2049 | |
| Not Available |
| Full Name | Kh Counseling & Health Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 101 Empty Saddle Trl Ste 120, Hailey, Idaho |
| Authorized Official Name and Position | Kimberly Hayes (OWNER) |
| Authorized Official Contact | 2087202049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kh Counseling & Health Center, Llc 101 Empty Saddle Trl Ste 120 Hailey ID 83333-8437 Ph: () - | Kh Counseling & Health Center, Llc 101 Empty Saddle Trl Ste 120 Hailey ID 83333-8437 Ph: (208) 720-2049 |
| NPI Number | 1174010573 |
|---|---|
| Provider Enumeration Date | 04/20/2018 |
| Last Update Date | 10/20/2023 |
| Certification Date | 06/14/2023 |
| Medicare PECOS PAC ID | 6800144742 |
|---|---|
| Medicare Enrollment ID | O20180808002959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174010573 | NPI | - | NPPES |
| 1346642550 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan C Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477837698 PECOS PAC ID: 1254692593 Enrollment ID: I20180228001911 |
| Provider Name | Kimberly Anne Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346642550 PECOS PAC ID: 2062760903 Enrollment ID: I20180808003094 |
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