| Mountain Wildflower Psychotherapy | |
|
46 N Last Chance Gulch Helena MT 59601-4122 | |
| (406) 490-5198 | |
| Not Available |
| Full Name | Mountain Wildflower Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 46 N Last Chance Gulch, Helena, Montana |
| Authorized Official Name and Position | Michelle Hines (OWNER) |
| Authorized Official Contact | 4064905198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Wildflower Psychotherapy Po Box 423 Helena MT 59624-0423 Ph: () - | Mountain Wildflower Psychotherapy 46 N Last Chance Gulch Helena MT 59601-4122 Ph: (406) 490-5198 |
| NPI Number | 1114314713 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 04/21/2015 |
| Medicare PECOS PAC ID | 3375859010 |
|---|---|
| Medicare Enrollment ID | O20150826001501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114314713 | NPI | - | NPPES |
| 0379314 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7848 (Montana) | Primary |
| Provider Name | Michelle Lynn Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487073045 PECOS PAC ID: 1153547716 Enrollment ID: I20140717001518 |
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