| Healing Mountain Mental Health | |
|
706 Kensington Ave Missoula MT 59801-5720 | |
| (406) 370-3283 | |
| (406) 302-5191 |
| Full Name | Healing Mountain Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 706 Kensington Ave, Missoula, Montana |
| Authorized Official Name and Position | Barbara N Cox (OWNER/DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 4063703283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Mountain Mental Health 706 Kensington Ave Missoula MT 59801-5720 Ph: (406) 370-3283 | Healing Mountain Mental Health 706 Kensington Ave Missoula MT 59801-5720 Ph: (406) 370-3283 |
| NPI Number | 1407494115 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Medicare PECOS PAC ID | 5698104362 |
|---|---|
| Medicare Enrollment ID | O20200331002655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407494115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Barbara Nan Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730730466 PECOS PAC ID: 6507295276 Enrollment ID: I20200331002808 |
| 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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