| Moonlight Meadows Counseling Center | |
|
639 N 2858 E Roberts ID 83444-5070 | |
| (208) 585-8086 | |
| Not Available |
| Full Name | Moonlight Meadows Counseling Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 639 N 2858 E, Roberts, Idaho |
| Authorized Official Name and Position | Stacie S Karlinsey (OWNER/THERAPIST) |
| Authorized Official Contact | 2085858086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonlight Meadows Counseling Center 639 N 2858 E Roberts ID 83444-5070 Ph: (208) 585-8086 | Moonlight Meadows Counseling Center 639 N 2858 E Roberts ID 83444-5070 Ph: (208) 585-8086 |
| NPI Number | 1720713100 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720713100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |