Provider Demographics
NPI:1902380983
Name:SCHEIDEGGER, ATHENA MARIA (MCOUN)
Entity Type:Individual
Prefix:MRS
First Name:ATHENA
Middle Name:MARIA
Last Name:SCHEIDEGGER
Suffix:
Gender:F
Credentials:MCOUN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 9TH AVE S STE B10
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-3825
Mailing Address - Country:US
Mailing Address - Phone:208-471-4975
Mailing Address - Fax:
Practice Address - Street 1:112 9TH AVE S STE B10
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-3825
Practice Address - Country:US
Practice Address - Phone:208-471-4975
Practice Address - Fax:208-318-5017
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-17
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID7070101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health