| Missoula Therapy, Pllc | |
|
3819 Stephens Ave Ste 300 Missoula MT 59801 | |
| (406) 215-2225 | |
| (406) 215-2226 |
| Full Name | Missoula Therapy, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3819 Stephens Ave Ste 300, Missoula, Montana |
| Authorized Official Name and Position | Andrew S Hill (THERAPIST) |
| Authorized Official Contact | 4062152225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missoula Therapy, Pllc 3819 Stephens Ave Ste 300 Missoula MT 59801-8522 Ph: (406) 215-2225 | Missoula Therapy, Pllc 3819 Stephens Ave Ste 300 Missoula MT 59801 Ph: (406) 215-2225 |
| NPI Number | 1225528110 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Medicare PECOS PAC ID | 1254686025 |
|---|---|
| Medicare Enrollment ID | O20180619001875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225528110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Andrew S Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588022248 PECOS PAC ID: 7719278274 Enrollment ID: I20160614001705 |
| Provider Name | Davis Logan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275297939 PECOS PAC ID: 3072056431 Enrollment ID: I20240613004433 |
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