| Lupine Mental Health And Wellness | |
|
32 S Ewing St Ste 318 Helena MT 59601-5750 | |
| (406) 285-8929 | |
| Not Available |
| Full Name | Lupine Mental Health And Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 32 S Ewing St Ste 318, Helena, Montana |
| Authorized Official Name and Position | Jen A Mittelstadt (OWNER) |
| Authorized Official Contact | 4062858929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lupine Mental Health And Wellness Po Box 272 Helena MT 59624-0272 Ph: (406) 285-8929 | Lupine Mental Health And Wellness 32 S Ewing St Ste 318 Helena MT 59601-5750 Ph: (406) 285-8929 |
| NPI Number | 1043035538 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 01/03/2025 |
| Certification Date | 01/03/2025 |
| Medicare PECOS PAC ID | 9931637550 |
|---|---|
| Medicare Enrollment ID | O20250110000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043035538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jen Acacia Mittelstadt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558032698 PECOS PAC ID: 0840728465 Enrollment ID: I20250110000753 |
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