HEADWATERS WELLNESS PLLC NPI 1811657216

NPI Information

  • NPI: 1811657216
  • Provider Name: HEADWATERS WELLNESS PLLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 118 MAIN ST
    KALISPELL, MT
    ZIP 59901
  • Phone: (406) 219-1104

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NPI Details

HEADWATERS WELLNESS PLLC is a multi-specialty clinic center in Kalispell, MT. HEADWATERS WELLNESS PLLC NPI is 1811657216. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

118 MAIN ST
KALISPELL, MT
ZIP 59901-452
Phone: (406) 219-1104

The provider's authorized official is Brittany Eppard .
The authorized official title is Owner/aprn and has the following contact phone number (406) 219-1104.

The enumeration date for this NPI number is 12/27/2021 and was last updated on 11/3/2022.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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

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