Organization
A NEW HORIZON COUNSELING SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI LYNN SUDOL M.S.W., L.C.S.W. (PSYCHOTHERAPIST)
(208) 755-5188
Entity
Organization
Contact information
Practice address
10615 N GOVERNMENT WAY, SUITE 206, HAYDEN, ID 83835-7473
(208) 755-5188
(208) 772-2533
Mailing address
10615 N GOVERNMENT WAY, SUITE 206, HAYDEN, ID 83835-7473
(208) 755-5188
(208) 772-2533
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-1215
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10017829
REGENCE
ID
01
—
18833
GROUP HEALTH
ID
01
—
L-2243
BLUE CROSS
ID
Enumeration date
03/22/2007
Last updated
08/22/2020
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