| Via Vita Llc | |
|
320 1st Ave N Great Falls MT 59401-2506 | |
| (406) 771-5030 | |
| Not Available |
| Full Name | Via Vita Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 320 1st Ave N, Great Falls, Montana |
| Authorized Official Name and Position | Karen Pedew (MANAGING MEMBER) |
| Authorized Official Contact | 4067715030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Via Vita Llc Po Box 1048 Great Falls MT 59403-1048 Ph: (406) 771-5030 | Via Vita Llc 320 1st Ave N Great Falls MT 59401-2506 Ph: (406) 771-5030 |
| NPI Number | 1144519083 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 03/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144519083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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