WAKE MENTAL HEALTH LLC NPI 1700473253

NPI Information

NPI: 1700473253
Provider Name: WAKE MENTAL HEALTH LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
428 1ST AVE W
KALISPELL, MT
ZIP 59901
Phone: (406) 253-1807
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WAKE MENTAL HEALTH LLC is a mental health (including community mental health center) clinic center in Kalispell, MT. WAKE MENTAL HEALTH LLC NPI is 1700473253. The provider is registered as an organization entity type.

The provider's business location address is:

428 1ST AVE W
KALISPELL, MT
ZIP 59901-836
Phone: (406) 253-1807

The provider's authorized official is Jill A Dieser .
The authorized official title is Clincial Social Worker and has the following contact phone number (406) 261-9127.

The enumeration date for this NPI number is 12/30/2020 and was last updated on 12/30/2020.

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	261QM0801X	Clinic/Center	Mental 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

NPI Synchronization or Removal

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