| Vast Sky Counseling, Llc | |
|
210 E Pine St Ste 200 Missoula MT 59802-4533 | |
| (406) 544-9937 | |
| Not Available |
| Full Name | Vast Sky Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 210 E Pine St Ste 200, Missoula, Montana |
| Authorized Official Name and Position | Melanie R Trost (OWNER) |
| Authorized Official Contact | 4065449937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vast Sky Counseling, Llc 2308 Raymond Ave Missoula MT 59802-3510 Ph: (406) 370-4140 | Vast Sky Counseling, Llc 210 E Pine St Ste 200 Missoula MT 59802-4533 Ph: (406) 544-9937 |
| NPI Number | 1487368551 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/11/2023 |
| Medicare PECOS PAC ID | 2062865694 |
|---|---|
| Medicare Enrollment ID | O20240130002047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487368551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melanie Rose Trost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750931234 PECOS PAC ID: 2466803622 Enrollment ID: I20240111004085 |
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