Billylynn L. Han, Lcsw, Pllc | |
1601 2nd Ave N Ste 650 Great Falls MT 59401-3287 | |
(406) 868-9824 | |
Not Available |
Full Name | Billylynn L. Han, Lcsw, Pllc |
---|---|
Speciality | Community/Behavioral Health |
Location | 1601 2nd Ave N Ste 650, Great Falls, Montana |
Authorized Official Name and Position | Billylynn Han (THERAPIST) |
Authorized Official Contact | 4068689824 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Billylynn L. Han, Lcsw, Pllc Po Box 296 Black Eagle MT 59414-0296 Ph: (406) 868-9824 | Billylynn L. Han, Lcsw, Pllc 1601 2nd Ave N Ste 650 Great Falls MT 59401-3287 Ph: (406) 868-9824 |
NPI Number | 1164047460 |
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Provider Enumeration Date | 06/11/2020 |
Last Update Date | 06/11/2020 |
Certification Date | 06/11/2020 |
Medicare PECOS PAC ID | 1557784691 |
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Medicare Enrollment ID | O20200708003188 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164047460 | NPI | - | NPPES |
1497318802 | Other | MT | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Billylynn Leiuilani Pestell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497318802 PECOS PAC ID: 2466875505 Enrollment ID: I20200708003224 |
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