| Full Spectrum Psychotherapy Inc | |
|
1119 Maiden Lane Thompson Falls MT 59873 | |
| (406) 827-9330 | |
| Not Available |
| Full Name | Full Spectrum Psychotherapy Inc |
|---|---|
| Speciality | Counselor |
| Location | 1119 Maiden Lane, Thompson Falls, Montana |
| Authorized Official Name and Position | Diane Morrin (OWNER) |
| Authorized Official Contact | 4068279330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Spectrum Psychotherapy Inc Po Box 1906 Thompson Falls MT 59873-1906 Ph: (406) 827-9330 | Full Spectrum Psychotherapy Inc 1119 Maiden Lane Thompson Falls MT 59873 Ph: (406) 827-9330 |
| NPI Number | 1639671191 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 5597290601 |
|---|---|
| Medicare Enrollment ID | O20241126004094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639671191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Diane Morrin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215094305 PECOS PAC ID: 0941735054 Enrollment ID: I20241126004179 |
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