| Kickin It Enterprises | |
|
1201 Main St B Polson MT 59860-5328 | |
| (406) 883-1718 | |
| (406) 204-1207 |
| Full Name | Kickin It Enterprises |
|---|---|
| Speciality | Social Worker |
| Location | 1201 Main St, Polson, Montana |
| Authorized Official Name and Position | Gina L. Dalrymple (OWNER/PROVIDER) |
| Authorized Official Contact | 4068831718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kickin It Enterprises 1201 Main St B Polson MT 59860-5328 Ph: (406) 883-1718 | Kickin It Enterprises 1201 Main St B Polson MT 59860-5328 Ph: (406) 883-1718 |
| NPI Number | 1841749249 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Medicare PECOS PAC ID | 0143589580 |
|---|---|
| Medicare Enrollment ID | O20180110003351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841749249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2397 (Montana) | Primary |
| Provider Name | Gina Dalrymple |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952640815 PECOS PAC ID: 2466763800 Enrollment ID: I20150625001741 |
| Provider Name | Julie Anna Dalrymple |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477946341 PECOS PAC ID: 8224456405 Enrollment ID: I20200921001610 |
Willow Canyon Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 302 1st St W Ste 203, Polson, MT 59860 Phone: 406-270-3447 | |
Zimmermann C&c Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Main St, Polson, MT 59860 Phone: 626-869-6069 | |
Anne D Lowe Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 6th Ave E, Polson, MT 59860 Phone: 360-672-1548 | |
Montana Therapy And Consulting Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 105 4th Ave E, Polson, MT 59860 Phone: 406-412-6768 | |
Dogwood Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 302 1st St W Ste 104, Polson, MT 59860 Phone: 406-210-0035 Fax: 406-635-8695 | |
Wild Hare Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 1st St E Ste 200, Polson, MT 59860 Phone: 406-850-7706 Fax: 406-201-8204 | |
Darci Jones, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 220 Main St, Polson, MT 59860 Phone: 406-885-1188 |