| Sweetwater Counseling | |
|
720 Chute Canyon Way Bonners Ferry ID 83805-5220 | |
| (208) 610-2980 | |
| Not Available |
| Full Name | Sweetwater Counseling |
|---|---|
| Speciality | Counselor |
| Location | 720 Chute Canyon Way, Bonners Ferry, Idaho |
| Authorized Official Name and Position | Travis M Walker (OWNER) |
| Authorized Official Contact | 2086102980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweetwater Counseling 720 Chute Canyon Way Bonners Ferry ID 83805-5220 Ph: (208) 610-2980 | Sweetwater Counseling 720 Chute Canyon Way Bonners Ferry ID 83805-5220 Ph: (208) 610-2980 |
| NPI Number | 1306552468 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 5092151662 |
|---|---|
| Medicare Enrollment ID | O20240306002482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306552468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Travis Medrano Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699322917 PECOS PAC ID: 9335585918 Enrollment ID: I20240312004093 |
Eastport Psr, L.l.p. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7222 Main Street, Bonners Ferry, ID 83805 Phone: 208-946-3604 Fax: 208-267-1681 | |
Playworks Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7583 Main St, Hawkins House Healing Center, Bonners Ferry, ID 83805 Phone: 208-946-9572 Fax: 208-267-9020 | |
Rachel Meiland Webster Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6686 Augusta Bldg 100, Bonners Ferry, ID 83805 Phone: 208-946-0001 Fax: 208-267-1922 | |
Sequel Alliance Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6334 Main St, Bonners Ferry, ID 83805 Phone: 208-267-0780 Fax: 208-267-7941 | |
Rawlings Community Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6807 Cody St, Bonners Ferry, ID 83805 Phone: 208-267-0900 Fax: 208-267-6100 | |
Art Of Redirection Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6821 Main St Ste C, Bonners Ferry, ID 83805 Phone: 208-267-9228 Fax: 208-267-9228 |