| Glacier Trails Counseling Llc | |
|
2601 S 3rd St W Missoula MT 59804-1143 | |
| (406) 414-9623 | |
| Not Available |
| Full Name | Glacier Trails Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2601 S 3rd St W, Missoula, Montana |
| Authorized Official Name and Position | Terran Eastham (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4064149623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glacier Trails Counseling Llc Po Box 16331 Missoula MT 59808-6331 Ph: (406) 414-9623 | Glacier Trails Counseling Llc 2601 S 3rd St W Missoula MT 59804-1143 Ph: (406) 414-9623 |
| NPI Number | 1265260285 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Medicare PECOS PAC ID | 9931648987 |
|---|---|
| Medicare Enrollment ID | O20240822001726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265260285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Terran Eastham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235889288 PECOS PAC ID: 9537608583 Enrollment ID: I20240829000932 |
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