| Kristi Lee Moore, LAC | |
|
1515 W Bell St Ste 15, Glendive, MT 59330-3240 | |
| (406) 815-5831 | |
| Not Available |
| Full Name | Kristi Lee Moore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 1515 W Bell St Ste 15, Glendive, Montana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245905074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 50187 (Montana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 52801 (Montana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bighorn Valley Health Center Incorporated | 8820246077 | 69 |
| Entity Name | Bighorn Valley Health Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255617130 PECOS PAC ID: 8820246077 Enrollment ID: O20120913000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Lee Moore, LAC 1515 W Bell St Ste 15, Glendive, MT 59330-3240 Ph: (406) 815-5831 | Kristi Lee Moore, LAC 1515 W Bell St Ste 15, Glendive, MT 59330-3240 Ph: (406) 815-5831 |
Virginia Berube, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S Kendrick Ave, Glendive, MT 59330 Phone: 406-377-5942 Fax: 406-377-3050 | |
Nancy Renee Cullinan, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S Kendrick Ave, Glendive, MT 59330 Phone: 406-377-6075 | |
Cynthia Kay Heidt, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 N Kendrick Ave, Glendive, MT 59330 Phone: 406-377-6075 Fax: 406-377-8013 | |
Mrs. Deborah Diane Robart, MA, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 122 W Towne St, Suite 201a, Glendive, MT 59330 Phone: 406-377-3370 Fax: 406-377-3370 | |
Miss Allison Mae Neal, ADDICTION COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S Kendrick Ave, Glendive, MT 59330 Phone: 406-377-5942 Fax: 406-377-3050 | |
Albinus Edward Heidt, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 N Kendrick Ave, Glendive, MT 59330 Phone: 406-377-6075 Fax: 406-377-8013 |