| Olive Branch Counseling Inc | |
|
1020 Main Street Box #702 Corvallis MT 59828 | |
| (406) 361-0110 | |
| Not Available |
| Full Name | Olive Branch Counseling Inc |
|---|---|
| Speciality | Counselor |
| Location | 1020 Main Street Box #702, Corvallis, Montana |
| Authorized Official Name and Position | Tamera Klapwyk (OWNER) |
| Authorized Official Contact | 4063660855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Counseling Inc 1321 Eastside Hwy Corvallis MT 59828-9696 Ph: (406) 366-0855 | Olive Branch Counseling Inc 1020 Main Street Box #702 Corvallis MT 59828 Ph: (406) 361-0110 |
| NPI Number | 1790563930 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 10/07/2024 |
| Certification Date | 09/24/2024 |
| Medicare PECOS PAC ID | 6103267570 |
|---|---|
| Medicare Enrollment ID | O20240516000807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790563930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tamera D Klapwyk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437525136 PECOS PAC ID: 0042651416 Enrollment ID: I20240604003887 |
Megan Rosenberg, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2464 Loyd Dr, Corvallis, MT 59828 Phone: 509-593-3075 |