Thomas, Genevieve Lafaye
Thomas, Genevieve Lafaye is an sole proprietor health care provider with primary practice located at 199 W Bridge St , Blackfoot ID 83221-2704. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thomas, Genevieve Lafaye can be contacted via phone (208) 782-2060.Contact Information
Primary practice address
199 W Bridge St
Blackfoot ID 83221-2704
Phone: (208) 782-2060
Fax: (208) 782-0209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-27708 | Idaho |
Profile Details
| NPI number | 1548330814 |
|---|---|
| LBN Legal business name | Thomas, Genevieve Lafaye |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 31st, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548330814 | NPPES |
| Idaho | MEDICAID | 806855600 |
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