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DIVERSIFIED THERAPEUTIC SERVICES PLLC NPI 1588216535


NPI Information

NPI: 1588216535
Provider Name: DIVERSIFIED THERAPEUTIC SERVICES, PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
30 E WASHINTON ST, SUITE A
KALISPELL, MT
ZIP 59901
Phone: (406) 471-4296
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DIVERSIFIED THERAPEUTIC SERVICES, PLLC is a mental health (including community mental health center) clinic center in Kalispell, MT. DIVERSIFIED THERAPEUTIC SERVICES, PLLC NPI is 1588216535. The provider is registered as an organization entity type.

The provider's business location address is:

30 E WASHINTON ST, SUITE A
KALISPELL, MT
ZIP 59901
Phone: (406) 471-4296

The provider's authorized official is Jackson Hokanson .
The authorized official title is Msw Therapist and has the following contact phone number (406) 290-9039.

The enumeration date for this NPI number is 7/10/2019 and was last updated on 7/10/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/14/2023

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