| New Mercies 247 Llc | |
|
2825 Stockyard Rd Ste A11 Missoula MT 59808-1544 | |
| (509) 406-1774 | |
| Not Available |
| Full Name | New Mercies 247 Llc |
|---|---|
| Speciality | Counselor |
| Location | 2825 Stockyard Rd Ste A11, Missoula, Montana |
| Authorized Official Name and Position | Dylan Brown (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5094061774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mercies 247 Llc 2825 Stockyard Rd Ste A11 Missoula MT 59808-1544 Ph: (509) 406-1774 | New Mercies 247 Llc 2825 Stockyard Rd Ste A11 Missoula MT 59808-1544 Ph: (509) 406-1774 |
| NPI Number | 1326809302 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Medicare PECOS PAC ID | 3577090067 |
|---|---|
| Medicare Enrollment ID | O20241223000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326809302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Debbie Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750164604 PECOS PAC ID: 5698217958 Enrollment ID: I20240709004187 |
| Provider Name | Nicole Hutcherson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174704225 PECOS PAC ID: 6800322595 Enrollment ID: I20241204003244 |
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