| Innermountain Therapy Llc | |
|
2112 Dixon Ave Missoula MT 59801-8226 | |
| (406) 550-2750 | |
| Not Available |
| Full Name | Innermountain Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2112 Dixon Ave, Missoula, Montana |
| Authorized Official Name and Position | Lindsay Altounian (THERAPIST) |
| Authorized Official Contact | 4065502750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innermountain Therapy Llc 2112 Dixon Ave Missoula MT 59801-8226 Ph: (406) 550-2750 | Innermountain Therapy Llc 2112 Dixon Ave Missoula MT 59801-8226 Ph: (406) 550-2750 |
| NPI Number | 1134875198 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Medicare PECOS PAC ID | 1557749892 |
|---|---|
| Medicare Enrollment ID | O20220527001487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134875198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lindsay Renee Altounian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871247791 PECOS PAC ID: 2466830708 Enrollment ID: I20220527001558 |
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