| Lone Wolf Counseling, Llc | |
|
1601 2nd Ave N Ste 208 Great Falls MT 59401-3286 | |
| (406) 590-1550 | |
| Not Available |
| Full Name | Lone Wolf Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1601 2nd Ave N Ste 208, Great Falls, Montana |
| Authorized Official Name and Position | Teresa Mouser (OWNER/PROVIDER) |
| Authorized Official Contact | 4065901550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Wolf Counseling, Llc 1601 2nd Ave N Ste 208 Great Falls MT 59401-3286 Ph: (406) 590-1550 | Lone Wolf Counseling, Llc 1601 2nd Ave N Ste 208 Great Falls MT 59401-3286 Ph: (406) 590-1550 |
| NPI Number | 1609604578 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Medicare PECOS PAC ID | 2668911496 |
|---|---|
| Medicare Enrollment ID | O20240930002143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609604578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Teresa Marie Mouser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851651863 PECOS PAC ID: 7911446745 Enrollment ID: I20240930002503 |
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