| Nicolle Bellerive Lcsw Llc | |
|
126 E Callender St Livingston MT 59047-2675 | |
| (406) 223-9891 | |
| Not Available |
| Full Name | Nicolle Bellerive Lcsw Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 126 E Callender St, Livingston, Montana |
| Authorized Official Name and Position | Nicolle Michelle Bellerive (OWNER/PROVIDER) |
| Authorized Official Contact | 4062239891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolle Bellerive Lcsw Llc Po Box 135 Livingston MT 59047-0135 Ph: (406) 223-9891 | Nicolle Bellerive Lcsw Llc 126 E Callender St Livingston MT 59047-2675 Ph: (406) 223-9891 |
| NPI Number | 1730826892 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 05/30/2022 |
| Certification Date | 05/30/2022 |
| Medicare PECOS PAC ID | 8325414980 |
|---|---|
| Medicare Enrollment ID | O20221022000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730826892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nicolle Michelle Bellerive |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831730548 PECOS PAC ID: 6901215193 Enrollment ID: I20221125000140 |
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