| Salmon River Serenity Wellness Pllc | |
|
9492 W Fairview Ave Boise ID 83704-8101 | |
| (208) 413-1087 | |
| Not Available |
| Full Name | Salmon River Serenity Wellness Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 9492 W Fairview Ave, Boise, Idaho |
| Authorized Official Name and Position | Steve Thomas Welsh (CLINICIAN) |
| Authorized Official Contact | 2084131087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salmon River Serenity Wellness Pllc Po Box 4222 Boise ID 83711-4222 Ph: (208) 413-1087 | Salmon River Serenity Wellness Pllc 9492 W Fairview Ave Boise ID 83704-8101 Ph: (208) 413-1087 |
| NPI Number | 1861245201 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/25/2025 |
| Certification Date | 04/25/2025 |
| Medicare PECOS PAC ID | 0840639571 |
|---|---|
| Medicare Enrollment ID | O20240415002017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861245201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Steve T Welsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912498825 PECOS PAC ID: 0749629475 Enrollment ID: I20240418002489 |
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