Terran Eastham, | |
2601 S 3rd St W, Missoula, MT 59804-1143 | |
(406) 414-9623 | |
Not Available |
Full Name | Terran Eastham |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2601 S 3rd St W, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235889288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-71509 (Montana) | Primary |
Entity Name | Glacier Trails Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265260285 PECOS PAC ID: 9931648987 Enrollment ID: O20240822001726 |
Mailing Address | Practice Location Address |
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Terran Eastham, Po Box 16331, Missoula, MT 59808-6331 Ph: (406) 414-9623 | Terran Eastham, 2601 S 3rd St W, Missoula, MT 59804-1143 Ph: (406) 414-9623 |
Jennifer Walrod, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 Hillcrest Loop, Missoula, MT 59803 Phone: 406-529-7776 Fax: 866-776-9460 | |
Jocelyn Nelson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 S 3rd St W, Missoula, MT 59801 Phone: 406-240-3732 | |
Jennifer Nichole Tuttle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 155 N California St Apt 407, Missoula, MT 59801 Phone: 919-395-2269 | |
Mark Christopher Wayne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-830-5584 | |
Paul K. Dokey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1235 North Ave W, Missoula, MT 59801 Phone: 406-532-9700 | |
Mr. Marianne Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1305 Wyoming St, Missoula, MT 59801 Phone: 406-532-9770 Fax: 406-541-3034 | |
Ursula Encell Holloway, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3075 N Reserve St Ste Q, Missoula, MT 59808 Phone: 406-327-1850 Fax: 406-327-1875 |