| Restoring Hope - Healing From Trauma And Addiction | |
|
1407 W Mcmillan Rd Ste 120 Meridian ID 83646-5168 | |
| (208) 315-6717 | |
| (208) 315-6718 |
| Full Name | Restoring Hope - Healing From Trauma And Addiction |
|---|---|
| Speciality | Counselor |
| Location | 1407 W Mcmillan Rd Ste 120, Meridian, Idaho |
| Authorized Official Name and Position | Denise Lereigh Whiteman (FINANCIAL DIRECTOR) |
| Authorized Official Contact | 2085718459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Hope - Healing From Trauma And Addiction Po Box 1662 Meridian ID 83680-1662 Ph: (208) 571-8459 | Restoring Hope - Healing From Trauma And Addiction 1407 W Mcmillan Rd Ste 120 Meridian ID 83646-5168 Ph: (208) 315-6717 |
| NPI Number | 1750927372 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/04/2024 |
| Medicare PECOS PAC ID | 2961822754 |
|---|---|
| Medicare Enrollment ID | O20241015003547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750927372 | NPI | - | NPPES |
| Provider Name | Leslee Lynn Whiteman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750403994 PECOS PAC ID: 5698195485 Enrollment ID: I20241021004378 |
| Provider Name | Joyce Faye Yeager |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912059031 PECOS PAC ID: 5890228134 Enrollment ID: I20241025000761 |
| Provider Name | Amanda Kay Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205472370 PECOS PAC ID: 4789116765 Enrollment ID: I20241107001856 |
| Provider Name | Rachael Meyer Olmstead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184932261 PECOS PAC ID: 0941734362 Enrollment ID: I20241107002741 |
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