| Rahmana Elizabeth Sayre | |
|
750 E Warm Springs Ave Ste D1 Boise ID 83712-6457 | |
| (208) 696-1645 | |
| Not Available |
| Full Name | Rahmana Elizabeth Sayre |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 E Warm Springs Ave Ste D1, Boise, Idaho |
| Authorized Official Name and Position | Elizabeth D. Sayre (THERAPIST/OWNER) |
| Authorized Official Contact | 2086961645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rahmana Elizabeth Sayre 5032 W Wolfe St Boise ID 83705-1174 Ph: (208) 696-1645 | Rahmana Elizabeth Sayre 750 E Warm Springs Ave Ste D1 Boise ID 83712-6457 Ph: (208) 696-1645 |
| NPI Number | 1689236648 |
|---|---|
| Provider Enumeration Date | 06/30/2019 |
| Last Update Date | 06/30/2019 |
| Medicare PECOS PAC ID | 5698003986 |
|---|---|
| Medicare Enrollment ID | O20190823003299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689236648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Sayre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275876344 PECOS PAC ID: 6507091717 Enrollment ID: I20131024000540 |
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