| Mellow Mountain Counseling Pllc | |
|
824 Mccormick Rd Weiser ID 83672-5102 | |
| (208) 248-0477 | |
| Not Available |
| Full Name | Mellow Mountain Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 824 Mccormick Rd, Weiser, Idaho |
| Authorized Official Name and Position | Stephen R Bunnell (OWNER) |
| Authorized Official Contact | 8017099447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mellow Mountain Counseling Pllc 824 Mccormick Rd Weiser ID 83672-5102 Ph: (208) 248-0477 | Mellow Mountain Counseling Pllc 824 Mccormick Rd Weiser ID 83672-5102 Ph: (208) 248-0477 |
| NPI Number | 1467171744 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467171744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Integrity Therapeutic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 E Idaho St # 1, Weiser, ID 83672 Phone: 208-549-2163 Fax: 208-549-0806 | |
Integrity Therapeutic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 E Idaho St # 1, Weiser, ID 83672 Phone: 208-549-2163 Fax: 208-549-0806 | |
Pathways, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W Idaho St, Weiser, ID 83672 Phone: 208-878-3350 Fax: 208-878-3351 |