| L Esprit Pc | |
|
120 S Main St Livingston MT 59047-2624 | |
| (406) 223-3621 | |
| Not Available |
| Full Name | L Esprit Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 120 S Main St, Livingston, Montana |
| Authorized Official Name and Position | Chantelle Plauche (ADMINISTRATOR) |
| Authorized Official Contact | 4062233621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L Esprit Pc 111 N 3rd St Ste 1 Livingston MT 59047-2645 Ph: (406) 223-3621 | L Esprit Pc 120 S Main St Livingston MT 59047-2624 Ph: (406) 223-3621 |
| NPI Number | 1194107003 |
|---|---|
| Provider Enumeration Date | 06/27/2015 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Medicare PECOS PAC ID | 4385074756 |
|---|---|
| Medicare Enrollment ID | O20200427000904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194107003 | NPI | - | NPPES |
| 7176890 | Medicaid | MT | |
| 1194107003 | Medicaid | MT |
| Provider Name | Chantelle R Plauche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932339629 PECOS PAC ID: 7012042302 Enrollment ID: I20100311000599 |
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