| My Soul Elements Llc | |
|
21 N Last Chance Gulch #107 Helena MT 59601-4137 | |
| (406) 860-0660 | |
| Not Available |
| Full Name | My Soul Elements Llc |
|---|---|
| Speciality | Social Worker |
| Location | 21 N Last Chance Gulch, Helena, Montana |
| Authorized Official Name and Position | Kobi S Schaff (LCSW/OWNER) |
| Authorized Official Contact | 4068600660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Soul Elements Llc Po Box 1406 Helena MT 59624-1406 Ph: (406) 860-0660 | My Soul Elements Llc 21 N Last Chance Gulch #107 Helena MT 59601-4137 Ph: (406) 860-0660 |
| NPI Number | 1649728932 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 09/14/2016 |
| Medicare PECOS PAC ID | 6103107206 |
|---|---|
| Medicare Enrollment ID | O20170104000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649728932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 18702 (Montana) | Primary |
| Provider Name | Kobi S Schaff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003362757 PECOS PAC ID: 2163703265 Enrollment ID: I20170113000824 |
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