| A Guiding Path, Llc | |
|
2875 Tina Ave Ste 106 Missoula MT 59808-1582 | |
| (406) 552-3587 | |
| Not Available |
| Full Name | A Guiding Path, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2875 Tina Ave Ste 106, Missoula, Montana |
| Authorized Official Name and Position | Brenden Eugene Green (OWNER/CLINICIAN) |
| Authorized Official Contact | 4065523587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Guiding Path, Llc 6315 Lone Moose Ct Florence MT 59833-6005 Ph: (505) 977-5376 | A Guiding Path, Llc 2875 Tina Ave Ste 106 Missoula MT 59808-1582 Ph: (406) 552-3587 |
| NPI Number | 1235586967 |
|---|---|
| Provider Enumeration Date | 05/23/2016 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235586967 | NPI | - | NPPES |
| 0686766 | Medicaid | MT | |
| 42171547 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0181451 (New Mexico) | Primary |
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