| Montana Center For Somatic Psychotherapy | |
|
2237 S. 3rd St. W. Missoula MT 59801-1334 | |
| (406) 541-2662 | |
| Not Available |
| Full Name | Montana Center For Somatic Psychotherapy |
|---|---|
| Speciality | Counselor |
| Location | 2237 S. 3rd St. W., Missoula, Montana |
| Authorized Official Name and Position | Hillary Swan Welzenbach (OWNER) |
| Authorized Official Contact | 4065412662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montana Center For Somatic Psychotherapy 2237 S. 3rd St. W. Missoula MT 59801-1334 Ph: (406) 541-2662 | Montana Center For Somatic Psychotherapy 2237 S. 3rd St. W. Missoula MT 59801-1334 Ph: (406) 541-2662 |
| NPI Number | 1457863664 |
|---|---|
| Provider Enumeration Date | 10/27/2017 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 0840684049 |
|---|---|
| Medicare Enrollment ID | O20220304001076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457863664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Vasa Parsons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174056170 PECOS PAC ID: 0840566147 Enrollment ID: I20171031001916 |
| Provider Name | Bryann Lea Bausch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447888557 PECOS PAC ID: 1557771797 Enrollment ID: I20201029001616 |
| Provider Name | Hillary Swan Funk Welzenbach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912164831 PECOS PAC ID: 6204220403 Enrollment ID: I20240325002477 |
| Provider Name | Cameron Lynn Bucheit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366177099 PECOS PAC ID: 5890133656 Enrollment ID: I20240329002204 |
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