| Guiding Light Mental Health Pc | |
|
313 Sw Higgins Ave Missoula MT 59803-1405 | |
| (406) 493-0703 | |
| Not Available |
| Full Name | Guiding Light Mental Health Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 313 Sw Higgins Ave, Missoula, Montana |
| Authorized Official Name and Position | Tristyn Howard (OWNER) |
| Authorized Official Contact | 4065655154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Light Mental Health Pc 313 Sw Higgins Ave Missoula MT 59803-1405 Ph: (406) 493-0703 | Guiding Light Mental Health Pc 313 Sw Higgins Ave Missoula MT 59803-1405 Ph: (406) 493-0703 |
| NPI Number | 1477145902 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/23/2021 |
| Medicare PECOS PAC ID | 8426448994 |
|---|---|
| Medicare Enrollment ID | O20211124001700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477145902 | NPI | - | NPPES |
| Provider Name | Elizabeth Km Hector |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487881777 PECOS PAC ID: 3072749829 Enrollment ID: I20131126001422 |
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