Montana Therapy And Consulting Pllc | |
105 4th Ave E Polson MT 59860-2192 | |
(406) 412-6768 | |
Not Available |
Full Name | Montana Therapy And Consulting Pllc |
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Speciality | Social Worker |
Location | 105 4th Ave E, Polson, Montana |
Authorized Official Name and Position | Amber A Hughes (OWNER) |
Authorized Official Contact | 4064126768 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Montana Therapy And Consulting Pllc Po Box 3947 Bozeman MT 59772-3947 Ph: (406) 580-8339 | Montana Therapy And Consulting Pllc 105 4th Ave E Polson MT 59860-2192 Ph: (406) 412-6768 |
NPI Number | 1134735269 |
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Provider Enumeration Date | 09/23/2020 |
Last Update Date | 11/24/2021 |
Certification Date | 11/10/2021 |
Medicare PECOS PAC ID | 5092180158 |
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Medicare Enrollment ID | O20240103003688 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134735269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Amber A Hughes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053944082 PECOS PAC ID: 0648621631 Enrollment ID: I20240103004407 |
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