| Sweetgrass Psychological A Services | |
|
144 2nd St W Unit A Whitefish MT 59937-3075 | |
| (406) 662-1771 | |
| Not Available |
| Full Name | Sweetgrass Psychological A Services |
|---|---|
| Speciality | Psychologist |
| Location | 144 2nd St W Unit A, Whitefish, Montana |
| Authorized Official Name and Position | Sara Boilen (OWNER) |
| Authorized Official Contact | 4066621771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweetgrass Psychological A Services 50 2nd St W Ste 300 Whitefish MT 59937-3067 Ph: (406) 662-1771 | Sweetgrass Psychological A Services 144 2nd St W Unit A Whitefish MT 59937-3075 Ph: (406) 662-1771 |
| NPI Number | 1477070738 |
|---|---|
| Provider Enumeration Date | 08/28/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 11/20/2020 |
| Medicare PECOS PAC ID | 9931449253 |
|---|---|
| Medicare Enrollment ID | O20190325001594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477070738 | NPI | - | NPPES |
| 7209748 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 18309 (Montana) | Secondary |
| 103T00000X | Psychologist | 1196 (Montana) | Primary |
| Provider Name | Brittany Eppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649627936 PECOS PAC ID: 5597057752 Enrollment ID: I20171211002446 |
| Provider Name | Elizabeth Norwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184159311 PECOS PAC ID: 3870836240 Enrollment ID: I20190529000362 |
| Provider Name | Sara Boilen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669712543 PECOS PAC ID: 8729328042 Enrollment ID: I20190815002954 |
| Provider Name | Alexa J Wells |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699143867 PECOS PAC ID: 2961780861 Enrollment ID: I20221108001054 |
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