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NPI Code Detail

MEDICARE: UPPER VALLEY RESOURCE AND COUNSELING CENTER

MEDICARE: UPPER VALLEY RESOURCE AND COUNSELING CENTER
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477691434
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPPER VALLEY RESOURCE AND COUNSELING CENTER
Provider Business Mailing Address
First Line : 1223 S RAILROAD AVE
Second Line :
City : SUGAR CITY
State : ID
Zip : 83448-5072
Country : US
Telephone Number : 208-359-0519
Fax Number : 208-359-2493
Provider Business Practice Location Address
First Line : 1223 S RAILROAD AVE
Second Line :
City : SUGAR CITY
State : ID
Zip : 83448-5072
Country : US
Telephone Number : 208-359-0519
Fax Number : 208-359-2493
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. BECKY HYMAS
Credential : LSW
Telephone Number : 208-359-0519
Provider Enumeration Date : 02/02/2007
Last Update Date : 02/07/2013

Similar Medicare Providers

1588003909 — UPPER VALLEY RESOURCE & COUNSELING CENTER
Practice Location Address:
1223 S RAILROAD AVE
SUGAR CITY, ID
83448-5072
Practice Phone: 208-359-0519
Practice Fax:
1487093845 — UPPER VALLEY RESOURCE & COUNSELING CENTER
Practice Location Address:
1223 S RAILROAD AVE
SUGAR CITY, ID
83448-5072
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Practice Fax:
1366986408 — UPPER VALLEY RESOURCE & COUNSELING LLC
Practice Location Address:
1223 S RAILROAD AVE
SUGAR CITY, ID
83448-5072
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Practice Fax:
1598232209 — TONYA HOLLIST LCSW
Practice Location Address:
1223 S RAILROAD AVE
SUGAR CITY, ID
83448-5072
Practice Phone: 208-359-0519
Practice Fax: 208-233-2178
1841764727 — SAMANTHA ARNOLD LCSW
Practice Location Address:
1223 S RAILROAD AVE
SUGAR CITY, ID
83448-5072
Practice Phone: 208-359-0519
Practice Fax: 208-359-2493
1629698170 — MEKAYLA BISHOP LMSW
Practice Location Address:
1223 S RAILROAD AVE
SUGAR CITY, ID
83448-5072
Practice Phone: 208-359-0519
Practice Fax: 208-359-2493

Directions to “UPPER VALLEY RESOURCE AND COUNSELING CENTER ” Practice Location

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