| Ambre's Bridge Counseling And Consulting Pllc | |
|
600 Central Ave Ste 305 Great Falls MT 59401-3157 | |
| (406) 637-3204 | |
| Not Available |
| Full Name | Ambre's Bridge Counseling And Consulting Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 600 Central Ave Ste 305, Great Falls, Montana |
| Authorized Official Name and Position | Kristina Dawn Grovhoug (FOUNDER, CEO, CLINICIAN) |
| Authorized Official Contact | 4066373206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambre's Bridge Counseling And Consulting Pllc 600 Central Ave Ste 305 Great Falls MT 59401-3157 Ph: (406) 637-3204 | Ambre's Bridge Counseling And Consulting Pllc 600 Central Ave Ste 305 Great Falls MT 59401-3157 Ph: (406) 637-3204 |
| NPI Number | 1447767280 |
|---|---|
| Provider Enumeration Date | 01/02/2018 |
| Last Update Date | 01/05/2018 |
| Medicare PECOS PAC ID | 6800202557 |
|---|---|
| Medicare Enrollment ID | O20210304001727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447767280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-29182 (Montana) | Primary |
| Provider Name | Kristina Dawn Grovhoug |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417491747 PECOS PAC ID: 0345656005 Enrollment ID: I20210304002111 |
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