Provider Demographics
NPI:1447028766
Name:S & M, INC.
Entity type:Organization
Organization Name:S & M, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC/TREAS
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGWERT
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:208-481-2611
Mailing Address - Street 1:520 E MCKERCHER BLVD
Mailing Address - Street 2:
Mailing Address - City:HAILEY
Mailing Address - State:ID
Mailing Address - Zip Code:83333-8701
Mailing Address - Country:US
Mailing Address - Phone:208-481-2611
Mailing Address - Fax:208-788-1884
Practice Address - Street 1:314 S RIVER ST STE 202A
Practice Address - Street 2:
Practice Address - City:HAILEY
Practice Address - State:ID
Practice Address - Zip Code:83333-7503
Practice Address - Country:US
Practice Address - Phone:208-788-5625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty