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General NPI Number Information
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NPI Number | 1013516780
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Entity Type | Organization
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Legal Business Name | MEADOW CREEK MENTAL HEALTH PC
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 501 E FRONT ST STE 517
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City | BUTTE
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State | MT
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Zip | 59701-5209
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Country | US
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Telephone | 406-565-5154
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Fax | 406-565-5040
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Provider Business Mailing Address
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Address Line | 501 E FRONT ST STE 517
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City | BUTTE
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State | MT
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Zip | 59701-5209
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Country | US
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Telephone | 406-565-5154
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Fax | 406-565-5040
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | TRISTYN RAE HOWARD
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Credential |
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Telephone | 406-565-5154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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