| Time To Thrive Pllc | |
|
1836 South Ave. West Missoula MT 59801 | |
| (406) 290-8554 | |
| Not Available |
| Full Name | Time To Thrive Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1836 South Ave. West, Missoula, Montana |
| Authorized Official Name and Position | Cory Carl Smith (OWNER) |
| Authorized Official Contact | 4062908554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Time To Thrive Pllc P.o. Box 5811 Missoula MT 59806 Ph: (406) 290-8554 | Time To Thrive Pllc 1836 South Ave. West Missoula MT 59801 Ph: (406) 290-8554 |
| NPI Number | 1629681010 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Medicare PECOS PAC ID | 1153740469 |
|---|---|
| Medicare Enrollment ID | O20210127002972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629681010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cory C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962824227 PECOS PAC ID: 5193945673 Enrollment ID: I20141003002228 |
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