| Center Counseling, Pc | |
|
321 E Main St Suite 407 Bozeman MT 59715 | |
| (406) 599-5355 | |
| Not Available |
| Full Name | Center Counseling, Pc |
|---|---|
| Speciality | Counselor |
| Location | 321 E Main St, Bozeman, Montana |
| Authorized Official Name and Position | Evan Center (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4065995355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Counseling, Pc 321 E Main St Ste 407 Bozeman MT 59715-4731 Ph: (406) 599-5355 | Center Counseling, Pc 321 E Main St Suite 407 Bozeman MT 59715 Ph: (406) 599-5355 |
| NPI Number | 1679048045 |
|---|---|
| Provider Enumeration Date | 10/11/2018 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Medicare PECOS PAC ID | 2264876630 |
|---|---|
| Medicare Enrollment ID | O20240214001584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679048045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Evan Louise Center |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306071790 PECOS PAC ID: 3173967544 Enrollment ID: I20240214001700 |
| Provider Name | Crystal Blixt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225220841 PECOS PAC ID: 7012352792 Enrollment ID: I20240304003681 |
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