| Prairie Counseling Pllc | |
|
20469 Kenilworth Rd Loma MT 59460-7716 | |
| (406) 270-7372 | |
| (406) 219-3369 |
| Full Name | Prairie Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20469 Kenilworth Rd, Loma, Montana |
| Authorized Official Name and Position | Dianna Keane (PROVIDER) |
| Authorized Official Contact | 4062707372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Counseling Pllc 20469 Kenilworth Rd Loma MT 59460-7716 Ph: (406) 270-7372 | Prairie Counseling Pllc 20469 Kenilworth Rd Loma MT 59460-7716 Ph: (406) 270-7372 |
| NPI Number | 1013588185 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 07/08/2021 |
| Certification Date | 07/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013588185 | NPI | - | NPPES |
| 1003051046 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |