Linking Resources | |
200 S Main St Ste P3 Pocatello ID 83204-3261 | |
(208) 406-9107 | |
Not Available |
Full Name | Linking Resources |
---|---|
Speciality | Social Worker |
Location | 200 S Main St, Pocatello, Idaho |
Authorized Official Name and Position | Brandi M Merrill (OWNER) |
Authorized Official Contact | 2084069107 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Linking Resources 200 S Main St Ste P3 Pocatello ID 83204-3261 Ph: (208) 406-9107 | Linking Resources 200 S Main St Ste P3 Pocatello ID 83204-3261 Ph: (208) 406-9107 |
NPI Number | 1205500832 |
---|---|
Provider Enumeration Date | 08/06/2021 |
Last Update Date | 02/14/2024 |
Certification Date | 03/10/2022 |
Medicare PECOS PAC ID | 1557758398 |
---|---|
Medicare Enrollment ID | O20220427000134 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205500832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Provider Name | Brandi M Merrill |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407053812 PECOS PAC ID: 7810384658 Enrollment ID: I20220427003116 |
Provider Name | Misty D Olsen |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740880053 PECOS PAC ID: 2466897228 Enrollment ID: I20240301003856 |
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