MEDICARE: MALYA BINGHAM LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC-3498	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LPC-3498	OTHER	ID	IDAHO LICENSE #
2	X6899	OTHER	ID	BLUE CROSS OF IDAHO #
3	000010156752	OTHER	ID	BLUESHIELD OF IDAHO #

General Provider Information

NPI Number	:	1902936362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALYA BINGHAM LPC

Provider Business Mailing Address
First Line	:	360 W MADISON AVE
Second Line	:
City	:	GLENNS FERRY
State	:	ID
Zip	:	83623-2364
Country	:	US
Telephone Number	:	208-366-2185
Fax Number	:

Provider Business Practice Location Address
First Line	:	486 WEST 1ST AVE
Second Line	:
City	:	GLENNS FERRY
State	:	ID
Zip	:	83623-0266
Country	:	US
Telephone Number	:	208-366-7416
Fax Number	:	208-366-2595

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1962654673 — RACHELLE ALICE JARAMILLO PA-C
Practice Location Address:

486 W FIRST ST
GLENNS FERRY, ID
83623-0266

Practice Phone: 208-366-7416
Practice Fax: 208-366-2595

1629114939 — COUNTY OF ELMOR CONSOLIDATED CLASS A 192
Practice Location Address:

800 OLD HWY 30
GLENNS FERRY, ID
83623

Practice Phone: 208-366-7434
Practice Fax: 208-366-7455

1376673137 — GLENNS FERRY HEALTH CENTER, INC.
Practice Location Address:

486 W 1ST AVE
GLENNS FERRY, ID
83623-2701

Practice Phone: 208-366-7416
Practice Fax: 208-587-3324

1427259894 — GLENNS FERRY HEALTH CENTER INC
Practice Location Address:

486 W 1ST AVE
GLENNS FERRY, ID
83623-2701

Practice Phone: 208-366-7416
Practice Fax: 208-366-2595

1356644082 — MRS. CARIN MELISSA HOWARD PA-C
Practice Location Address:

94 N COMMERCIAL ST
GLENNS FERRY, ID
83623-2342

Practice Phone: 208-366-1200
Practice Fax: 208-213-0226

1205348356 — TNT APOTHECARY LLC
Practice Location Address:

30 IDAHO AVE
GLENNS FERRY, ID
83623

Practice Phone: 208-536-5761
Practice Fax:

Directions to “ MALYA BINGHAM LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.