Surpass Counseling Services Llc | |
2504 Tradewinds Way Thompson Falls MT 59873-9707 | |
(406) 270-5713 | |
Not Available |
Full Name | Surpass Counseling Services Llc |
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Speciality | Counselor |
Location | 2504 Tradewinds Way, Thompson Falls, Montana |
Authorized Official Name and Position | Mark Bernard Lyga (OWNER) |
Authorized Official Contact | 4062705713 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Surpass Counseling Services Llc Po Box 6 Plains MT 59859-0006 Ph: (406) 270-5713 | Surpass Counseling Services Llc 2504 Tradewinds Way Thompson Falls MT 59873-9707 Ph: (406) 270-5713 |
NPI Number | 1932805256 |
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Provider Enumeration Date | 02/07/2023 |
Last Update Date | 02/07/2023 |
Certification Date | 02/07/2023 |
Medicare PECOS PAC ID | 8325497050 |
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Medicare Enrollment ID | O20231207000073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932805256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Mark Bernard Lyga |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821794355 PECOS PAC ID: 9234588963 Enrollment ID: I20231207000095 |
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