| Elysian Mental Health Foundaion | |
|
3733 Spotted Jack Loop N Billings MT 59101-6974 | |
| (406) 371-5802 | |
| Not Available |
| Full Name | Elysian Mental Health Foundaion |
|---|---|
| Speciality | Counselor |
| Location | 3733 Spotted Jack Loop N, Billings, Montana |
| Authorized Official Name and Position | Carol Wulfekuchle (TREASURER) |
| Authorized Official Contact | 4063715802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elysian Mental Health Foundaion 3733 Spotted Jack Loop N Billings MT 59101-6974 Ph: (406) 696-2814 | Elysian Mental Health Foundaion 3733 Spotted Jack Loop N Billings MT 59101-6974 Ph: (406) 371-5802 |
| NPI Number | 1023621836 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/31/2020 |
| Medicare PECOS PAC ID | 4082024278 |
|---|---|
| Medicare Enrollment ID | O20201028002690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023621836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Brandi N Mcferran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386033355 PECOS PAC ID: 4486066149 Enrollment ID: I20201222001185 |
| Provider Name | Chandra L. Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326372681 PECOS PAC ID: 0648682211 Enrollment ID: I20201224000365 |
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Kathleen J Wagner Lcsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 820 Division St, Billings, MT 59101 Phone: 406-245-1338 Fax: 406-294-5226 | |
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