| Sparrow Behavioral Health, Llc | |
|
800 Kensington Ave Ste 203 Missoula MT 59801-5670 | |
| (315) 372-3723 | |
| Not Available |
| Full Name | Sparrow Behavioral Health, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 800 Kensington Ave Ste 203, Missoula, Montana |
| Authorized Official Name and Position | Meghan Yeomans (OWNER) |
| Authorized Official Contact | 3153723723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparrow Behavioral Health, Llc 800 Kensington Ave Ste 203 Missoula MT 59801-5670 Ph: () - | Sparrow Behavioral Health, Llc 800 Kensington Ave Ste 203 Missoula MT 59801-5670 Ph: (315) 372-3723 |
| NPI Number | 1447744099 |
|---|---|
| Provider Enumeration Date | 06/18/2018 |
| Last Update Date | 06/18/2018 |
| Medicare PECOS PAC ID | 3870923733 |
|---|---|
| Medicare Enrollment ID | O20200417001000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447744099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 18809 (Montana) | Primary |
| Provider Name | Meghan Yeomans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679950034 PECOS PAC ID: 4981990843 Enrollment ID: I20160901002306 |
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