| Embracing Change Mt LLC | |
|
54 N Last Chance Gulch Ste 10 Helena MT 59601-4179 | |
| (406) 285-1966 | |
| Not Available |
| Full Name | Embracing Change Mt LLC |
|---|---|
| Speciality | Social Worker |
| Location | 54 N Last Chance Gulch Ste 10, Helena, Montana |
| Authorized Official Name and Position | Carol Josephson (OWNER) |
| Authorized Official Contact | 4062851966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embracing Change Mt LLC 54 N Last Chance Gulch Ste 10 Helena MT 59601-4179 Ph: (406) 285-1966 | Embracing Change Mt LLC 54 N Last Chance Gulch Ste 10 Helena MT 59601-4179 Ph: (406) 285-1966 |
| NPI Number | 1679460836 |
|---|---|
| Provider Enumeration Date | 06/20/2025 |
| Last Update Date | 08/26/2025 |
| Certification Date | 08/26/2025 |
| Medicare PECOS PAC ID | 4385140938 |
|---|---|
| Medicare Enrollment ID | O20251002000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679460836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Carol Josephson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093122558 PECOS PAC ID: 3476915232 Enrollment ID: I20230811000479 |
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