| Stillwaters Behavioral Health Llc | |
|
44 N Last Chance Gulch Ste 2 Helena MT 59601-4158 | |
| (406) 465-4580 | |
| Not Available |
| Full Name | Stillwaters Behavioral Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 44 N Last Chance Gulch Ste 2, Helena, Montana |
| Authorized Official Name and Position | Wendy Bazinet (MEMBER) |
| Authorized Official Contact | 4064654580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwaters Behavioral Health Llc Po Box 9736 Helena MT 59604-9736 Ph: (406) 465-4580 | Stillwaters Behavioral Health Llc 44 N Last Chance Gulch Ste 2 Helena MT 59601-4158 Ph: (406) 465-4580 |
| NPI Number | 1942767256 |
|---|---|
| Provider Enumeration Date | 02/22/2019 |
| Last Update Date | 12/15/2020 |
| Certification Date | 12/15/2020 |
| Medicare PECOS PAC ID | 2961744263 |
|---|---|
| Medicare Enrollment ID | O20190507003117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942767256 | NPI | - | NPPES |
| 563890 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Wendy L Bazinet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255646766 PECOS PAC ID: 4486770591 Enrollment ID: I20100927000650 |
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