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306 3rd Ave Ste 203 Havre MT 59501-3536 | |
| (406) 262-4357 | |
| (406) 262-0511 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 306 3rd Ave Ste 203, Havre, Montana |
| Authorized Official Name and Position | Misty Geer (PROVIDER, OWNER) |
| Authorized Official Contact | 4062624357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2443 Havre MT 59501-2443 Ph: (406) 262-4357 | 306 3rd Ave Ste 203 Havre MT 59501-3536 Ph: (406) 262-4357 |
| NPI Number | 1821847831 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 9335672534 |
|---|---|
| Medicare Enrollment ID | O20241025003863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821847831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Misty Geer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194005868 PECOS PAC ID: 0244763449 Enrollment ID: I20241025003873 |
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