| 3 Rivers Mental Health Solutions Llc | |
|
1620 Regent St Ste A Missoula MT 59801-5665 | |
| (406) 830-3294 | |
| Not Available |
| Full Name | 3 Rivers Mental Health Solutions Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1620 Regent St Ste A, Missoula, Montana |
| Authorized Official Name and Position | Tae Hartless (MANAGER) |
| Authorized Official Contact | 4068303294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 3 Rivers Mental Health Solutions Llc 715 Kensington Ave Suite 24b Missoula MT 59801-5769 Ph: (406) 830-3294 | 3 Rivers Mental Health Solutions Llc 1620 Regent St Ste A Missoula MT 59801-5665 Ph: (406) 830-3294 |
| NPI Number | 1861729535 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Medicare PECOS PAC ID | 4587889225 |
|---|---|
| Medicare Enrollment ID | O20140714000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861729535 | NPI | - | NPPES |
| Provider Name | Phillip M Holman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407928765 PECOS PAC ID: 3375535420 Enrollment ID: I20070226000503 |
| Provider Name | Steven D Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457331605 PECOS PAC ID: 5395753776 Enrollment ID: I20101021000706 |
| Provider Name | Colbert L Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801837067 PECOS PAC ID: 9436161221 Enrollment ID: I20140924000672 |
| Provider Name | Richard Lewis Holt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558451302 PECOS PAC ID: 7416055595 Enrollment ID: I20151113001383 |
| Provider Name | Kristen Lynn Sparks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508954827 PECOS PAC ID: 6608974399 Enrollment ID: I20170301002529 |
| Provider Name | Michael David Thein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184744088 PECOS PAC ID: 4981720380 Enrollment ID: I20181008001761 |
| Provider Name | Sheila Ann Hurd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366922551 PECOS PAC ID: 7719227438 Enrollment ID: I20190315002091 |
| Provider Name | Jeffrey Gerald Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578062915 PECOS PAC ID: 1456691591 Enrollment ID: I20190327001540 |
| Provider Name | John Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427729698 PECOS PAC ID: 4789129529 Enrollment ID: I20240716003884 |
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