LACEY HAGGAN-GALLOWAY (NPI# 1508486481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508486481 |
| Entity Type | Individual |
| Full Name | LACEY HAGGAN-GALLOWAY |
| Credential | LMFT |
| Practice Address |
630 Addison Ave W Twin Falls ID 83301-5491 |
| Practice Telephone | 2087365048 |
| Mailing Telephone | 2087365048 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT-7191 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1558606962 | 05 |
| Street Address |
630 ADDISON AVE W |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811938285 | David Kurt Seppi | Family Medicine | 630 Addison Ave W, Suite100, Twin Falls, ID 83301-5491 | 2006-06-09 |
| 1346785771 | Diana Kamenova | Social Worker | 630 Addison Ave W, Twin Falls, ID 83301-5491 | 2016-12-20 |
| 1528503950 | Sarah A Heck | Social Worker | 630 Addison Ave W, Twin Falls, ID 83301-5491 | 2016-12-20 |
| 1083056709 | Jaci Eren Urie | Social Worker | 630 Addison Ave W, Twin Falls, ID 83301-5491 | 2013-07-23 |
| 1992967764 | Tammy Jean Colver | Occupational Therapist | 630 Addison Ave W, Twin Falls, ID 83301-5491 | 2008-07-01 |
| 1861547390 | Neurology of Twin Falls, LLC | Physical Medicine & Rehabilitation | 630 Addison Ave W, Suite 200, Twin Falls, ID 83301-5491 | 2007-01-24 |
| 1689764698 | Charles L Cutler | Urology | 630 Addison Ave W, Ste 220, Twin Falls, ID 83301 | 2006-10-13 |
| 1184660953 | Stephen E Schmid | Surgery | 630 Addison Ave W, Twin Falls, ID 83301-5491 | 2006-06-21 |
| 1104860246 | Ronald Miller | Pediatrics | 630 Addison Ave W, Suite 100, Twin Falls, ID 83301-5491 | 2006-06-16 |
| 1700827193 | Jane Scott | Pediatrics | 630 Addison Ave W, Suite 100, Twin Falls, ID 83301-5491 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144588708 | Michael Robert Whitehead | Marriage & Family Therapist | 213 3rd Ave E, Twin Falls, ID 83301 | 2012-05-01 |
| 1447384557 | Kristi Jean Fowler | Marriage & Family Therapist | 140 River Vista Pl, Twin Falls, ID 83301-3056 | 2007-03-14 |
| 1497856637 | Susan Diane Bergen | Marriage & Family Therapist | 647 Filer Ave, Twin Falls, ID 83301-4008 | 2006-09-26 |
| 1720698624 | Cristin Bates | Marriage & Family Therapist | 284 Martin St, Twin Falls, ID 83301-4542 | 2020-08-05 |
| 1366905416 | Aspen Grove Family Therapy, Inc | Marriage & Family Therapist | 213 3rd Ave E, Twin Falls, ID 83301-6252 | 2019-04-07 |
| 1679624910 | Seth F Winterholler | Marriage & Family Therapist | 284 Martin St, Twin Falls, ID 83301-4562 | 2007-01-15 |
| 1871641324 | Alice Faye Potthast | Marriage & Family Therapist | 647 Filer Ave, Twin Falls, ID 83301-4008 | 2007-01-08 |
| 1083636518 | Jason K. Beard | Marriage & Family Therapist | 284 Martin St, Twin Falls, ID 83301-4562 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070193 | Lana Elizabeth Bronn | Marriage & Family Therapist | 89 N Main St Ste 204, Driggs, ID 83422-5164 | 2020-07-09 |
| 1831725902 | Steven Michael Moroney | Marriage & Family Therapist | 24338 N Mckenzie Dr, Rathdrum, ID 83858-7390 | 2020-03-20 |
| 1285268102 | Sandra Marie Gunn | Marriage & Family Therapist | 2426 N Merritt Creek Loop Ste E, Coeur D Alene, ID 83814-4961 | 2020-02-29 |
| 1790322451 | Karen Casperson | Marriage & Family Therapist | 1018 Atelier Condo Dr., Sun Valley, ID 83353 | 2019-12-02 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1528602828 | Damaris Ellen Conrad | Marriage & Family Therapist | 205 S Lancaster Dr, Nampa, ID 83686-8077 | 2019-10-30 |
| 1063064111 | Stacy Annette Brittain | Marriage & Family Therapist | 501 E Indiana Ave, Coeur D Alene, ID 83814-2909 | 2019-07-09 |
| 1326510454 | Timothy Young | Marriage & Family Therapist | 211 E Coeur D Alene Ave, Coeur D Alene, ID 83814-4926 | 2018-12-31 |
| 1851819486 | Laura M. Brotherson | Marriage & Family Therapist | Cherry Lane Counseling Center 403 W. Cherry Lane, Meridian, ID 83642 | 2017-09-04 |
| 1972043966 | Jedidiah Dykstra | Marriage & Family Therapist | 1140 American Legion Blvd, Mountain Home, ID 83647-2821 | 2017-02-24 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.