TAZIA WISDOM PCLC NPI 1013715234

NPI Information

  • NPI: 1013715234
  • Provider Name: TAZIA WISDOM, PCLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1035 1ST AVE W STE 210
    KALISPELL, MT
    ZIP 59901
  • Phone: (504) 357-1773

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NPI Details

Tazia Wisdom, PCLC is a mental health counselor in Kalispell, MT. Tazia Wisdom, PCLC NPI is 1013715234. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1035 1ST AVE W STE 210
KALISPELL, MT
ZIP 59901-607
Phone: (504) 357-1773

The enumeration date for this NPI number is 3/4/2025 and was last updated on 3/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthBBH-PCLC-LIC-50455MONTANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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