| Tazia Wisdom, PCLC | |
|
1935 3rd Ave E, Kalispell, MT 59901-5780 | |
| (504) 357-1773 | |
| Not Available |
| Full Name | Tazia Wisdom |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 1935 3rd Ave E, Kalispell, Montana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013715234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | BBH-LCPC-LIC-87709 (Montana) | Primary |
| Entity Name | Flathead Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306433511 PECOS PAC ID: 0446653422 Enrollment ID: O20210728002651 |
| Mailing Address | Practice Location Address |
|---|---|
| Tazia Wisdom, PCLC 404 3rd Ave E, Kalispell, MT 59901-4907 Ph: (504) 357-1773 | Tazia Wisdom, PCLC 1935 3rd Ave E, Kalispell, MT 59901-5780 Ph: (504) 357-1773 |
Angela Otto, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 1st Ave W, Kalispell, MT 59901 Phone: 406-607-4971 |
Vicki Lynn Kimball, Counselor Medicare: Not Enrolled in Medicare Practice Location: 249 E Center St, Suite 301, Kalispell, MT 59901 Phone: 406-300-1369 |
Tara L Trotter, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Heritage Way, Kalispell, MT 59901 Phone: 406-756-3950 Fax: 406-756-3957 |
Richard Dale Bartlett, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 234 2nd St W, Kalispell, MT 59901 Phone: 406-257-5046 Fax: 406-257-5092 |
Keyawna Janice Larson, SWLC, ACLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Meridian Ct Apt A201, Kalispell, MT 59901 Phone: 406-407-4513 |
Daniel L. Gregerson, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 690 N Meridian Rd Ste 204, Kalispell, MT 59901 Phone: 406-249-5611 |
Jason Andrew Heisey, Counselor Medicare: Medicare Enrolled Practice Location: 200 Heritage Way, Kalispell, MT 59901 Phone: 406-756-3950 Fax: 406-756-3957 |