| Sadiki Counseling Services, Pllc | |
|
1015 W Hays St Ste 209 Boise ID 83702-5412 | |
| (208) 570-5641 | |
| Not Available |
| Full Name | Sadiki Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1015 W Hays St Ste 209, Boise, Idaho |
| Authorized Official Name and Position | Amy Marie Byron-sadiki (OWNER) |
| Authorized Official Contact | 2083460901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sadiki Counseling Services, Pllc 1015 W Hays St Ste 209 Boise ID 83702-5412 Ph: (208) 570-5641 | Sadiki Counseling Services, Pllc 1015 W Hays St Ste 209 Boise ID 83702-5412 Ph: (208) 570-5641 |
| NPI Number | 1457015265 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/27/2021 |
| Medicare PECOS PAC ID | 0345630521 |
|---|---|
| Medicare Enrollment ID | O20211201002866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457015265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy M Byron-sadiki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326466871 PECOS PAC ID: 2668714221 Enrollment ID: I20190430002912 |
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