Organization
IDAHO PSYCHOLOGICAL RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS GAMETT (ADMINSTRATOR)
(208) 604-5193
Entity
Organization
Contact information
Practice address
4433 BEVERLAND ROAD, MACKAY, ID 83251
(208) 588-5770
(208) 588-2984
Mailing address
PO BOX 402, MACKAY, ID 83251-0402
(208) 588-2770
(208) 588-2984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC-3661
ID
104100000X
Social Worker
Primary
LCSW-27821
ID
Other
Enumeration date
04/04/2018
Last updated
06/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us