Mrs. | |
512 N 29th St Billings MT 59101-1113 | |
(406) 672-7904 | |
Not Available |
Full Name | Mrs. |
---|---|
Speciality | Counselor - Mental Health |
Location | 512 N 29th St, Billings, Montana |
Authorized Official Name and Position | Lisa Matovich-brooke (OWNER) |
Authorized Official Contact | 4066727904 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mrs. 512 N 29th St Billings MT 59101-1113 Ph: () - | Mrs. 512 N 29th St Billings MT 59101-1113 Ph: (406) 672-7904 |
NPI Number | 1144781212 |
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Provider Enumeration Date | 03/29/2019 |
Last Update Date | 07/05/2024 |
Certification Date | 07/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144781212 | NPI | - | NPPES |
1740699875 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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