| Facilitating Life Changes Inc | |
|
301 W Spruce St Missoula MT 59802 | |
| (406) 327-9697 | |
| Not Available |
| Full Name | Facilitating Life Changes Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 301 W Spruce St, Missoula, Montana |
| Authorized Official Name and Position | Diana L Bjorgen (PRESIDENT OWNER) |
| Authorized Official Contact | 4063279697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Facilitating Life Changes Inc Po Box 1328 Flc Inc Or Custom Medical Billing Florence MT 59833 Ph: (406) 273-7600 | Facilitating Life Changes Inc 301 W Spruce St Missoula MT 59802 Ph: (406) 327-9697 |
| NPI Number | 1942287891 |
|---|---|
| Provider Enumeration Date | 12/30/2005 |
| Last Update Date | 01/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942287891 | NPI | - | NPPES |
| P00099519 | Other | PR MED | |
| 490348 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 307 (Montana) | Primary |
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