Healthcare Provider Details

I. General information

NPI: 1013872415
Provider Name (Legal Business Name): DEBORAH ELIZABETH HARDING NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 SUNNYVIEW LN
KALISPELL MT
59901-3120
US

IV. Provider business mailing address

285 LOWER VALLEY RD
KALISPELL MT
59901-9165
US

V. Phone/Fax

Practice location:
  • Phone: 406-751-4100
  • Fax:
Mailing address:
  • Phone: 406-751-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3530441
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: