| Syringa Wellness | |
|
1609 S Kimball Ave Ste 200 Caldwell ID 83605-5196 | |
| (208) 899-8101 | |
| (208) 899-8096 |
| Full Name | Syringa Wellness |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1609 S Kimball Ave Ste 200, Caldwell, Idaho |
| Authorized Official Name and Position | Aspen Morrow (OWNER/OVERSEER) |
| Authorized Official Contact | 2088709238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syringa Wellness 1609 S Kimball Ave Ste 200 Caldwell ID 83605-5196 Ph: (208) 899-8101 | Syringa Wellness 1609 S Kimball Ave Ste 200 Caldwell ID 83605-5196 Ph: (208) 899-8101 |
| NPI Number | 1114389517 |
|---|---|
| Provider Enumeration Date | 03/24/2016 |
| Last Update Date | 11/07/2019 |
| Medicare PECOS PAC ID | 3476989138 |
|---|---|
| Medicare Enrollment ID | O20200129000957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114389517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Heather Yvonne Allum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659823292 PECOS PAC ID: 7810323573 Enrollment ID: I20200130000016 |
| Provider Name | Sara Jane Winkelman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801553276 PECOS PAC ID: 3971986803 Enrollment ID: I20220810001617 |
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