| Surpass Counseling Services Llc | |
|
2504 Tradewinds Way Thompson Falls MT 59873-9707 | |
| (406) 270-5713 | |
| Not Available |
| Full Name | Surpass Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 2504 Tradewinds Way, Thompson Falls, Montana |
| Authorized Official Name and Position | Mark Bernard Lyga (OWNER) |
| Authorized Official Contact | 4062705713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surpass Counseling Services Llc Po Box 6 Plains MT 59859-0006 Ph: (406) 270-5713 | Surpass Counseling Services Llc 2504 Tradewinds Way Thompson Falls MT 59873-9707 Ph: (406) 270-5713 |
| NPI Number | 1932805256 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 8325497050 |
|---|---|
| Medicare Enrollment ID | O20231207000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932805256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mark Bernard Lyga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821794355 PECOS PAC ID: 9234588963 Enrollment ID: I20231207000095 |
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