| Wisdom Tree Counseling, Pllc | |
|
7955 Toby Way Missoula MT 59808-5024 | |
| (406) 219-1302 | |
| Not Available |
| Full Name | Wisdom Tree Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 7955 Toby Way, Missoula, Montana |
| Authorized Official Name and Position | Kimberly Panko (CEO) |
| Authorized Official Contact | 4062191302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Tree Counseling, Pllc 2814 Brooks St Ste 144 Missoula MT 59801-7718 Ph: (406) 219-1302 | Wisdom Tree Counseling, Pllc 7955 Toby Way Missoula MT 59808-5024 Ph: (406) 219-1302 |
| NPI Number | 1518640093 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Medicare PECOS PAC ID | 2961935705 |
|---|---|
| Medicare Enrollment ID | O20241031001921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518640093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly Wallis Panko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245840230 PECOS PAC ID: 8921531914 Enrollment ID: I20241029003989 |
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