MEDICINE LODGE COUNSELING PLLC NPI 1619465788

NPI Information

NPI: 1619465788
Provider Name: MEDICINE LODGE COUNSELING PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2809 GREAT NORTHERN LOOP STE 210-5
MISSOULA, MT
ZIP 59808
Phone: (406) 360-8470
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MEDICINE LODGE COUNSELING PLLC is a professional counselor in Missoula, MT. MEDICINE LODGE COUNSELING PLLC NPI is 1619465788. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2809 GREAT NORTHERN LOOP STE 210-5
MISSOULA, MT
ZIP 59808-749
Phone: (406) 360-8470

The provider's authorized official is Pamela C Wilson .
The authorized official title is Clinical Mental Health Counselor and has the following contact phone number (406) 360-8470.

The enumeration date for this NPI number is 4/24/2018 and was last updated on 6/16/2018.

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
1	101YP2500X	Counselor	Professional	4654	MONTANA	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: 4/28/2024

NPI Synchronization or Removal

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