| Kelly Ewalt, Inc | |
|
305 1st Ave W Columbia Falls MT 59912-3625 | |
| (406) 249-9153 | |
| (406) 892-4606 |
| Full Name | Kelly Ewalt, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 305 1st Ave W, Columbia Falls, Montana |
| Authorized Official Name and Position | Kelly Ewalt (OWNER) |
| Authorized Official Contact | 4062499153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ewalt, Inc 305 1st Ave W Columbia Falls MT 59912-3625 Ph: (406) 249-9153 | Kelly Ewalt, Inc 305 1st Ave W Columbia Falls MT 59912-3625 Ph: (406) 249-9153 |
| NPI Number | 1114770591 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/07/2024 |
| Medicare PECOS PAC ID | 5698207041 |
|---|---|
| Medicare Enrollment ID | O20241010002104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114770591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kelly Anne Ewalt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699081125 PECOS PAC ID: 7416489877 Enrollment ID: I20241010002218 |
Riverstone Management Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Meadow Lake Blvd, Columbia Falls, MT 59912 Phone: 406-892-3400 | |
Bridges To Recovery Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Hodgson Rd, Columbia Falls, MT 59912 Phone: 406-897-2788 | |
Colleen D Johnson, Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 305 1st Ave W, Columbia Falls, MT 59912 Phone: 406-250-3845 Fax: 406-892-4606 | |
Glacier Hope Homes, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Hodgson Rd, Columbia Falls, MT 59912 Phone: 406-871-6738 | |
Sheila Murray, Lcpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 1st Ave W Ste 4, Columbia Falls, MT 59912 Phone: 406-314-8439 Fax: 406-892-4606 | |
Price Assisted Living Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 13th St W, Columbia Falls, MT 59912 Phone: 406-892-4100 |