Open Door Counseling | |
2022 Central Ave Great Falls MT 59401-3900 | |
(406) 781-4414 | |
(406) 205-2358 |
Full Name | Open Door Counseling |
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Speciality | Counselor |
Location | 2022 Central Ave, Great Falls, Montana |
Authorized Official Name and Position | Joshua Holloway (CEO/OWNER) |
Authorized Official Contact | 4067814414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Open Door Counseling Po Box 148 Great Falls MT 59403-0148 Ph: (406) 781-4414 | Open Door Counseling 2022 Central Ave Great Falls MT 59401-3900 Ph: (406) 781-4414 |
NPI Number | 1437623006 |
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Provider Enumeration Date | 01/17/2019 |
Last Update Date | 04/16/2024 |
Certification Date | 04/16/2024 |
Medicare PECOS PAC ID | 8729328919 |
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Medicare Enrollment ID | O20190326002011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437623006 | NPI | - | NPPES |
7296400 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Christina M Skinner |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1962710046 PECOS PAC ID: 8123201530 Enrollment ID: I20110323000020 |
Provider Name | Anna M Rosteck |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720301526 PECOS PAC ID: 0840554275 Enrollment ID: I20180510001020 |
Provider Name | Melonie Parmley |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1336426196 PECOS PAC ID: 4981847795 Enrollment ID: I20211117001452 |
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