MEDICARE: GRATEFUL INSIGHT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133N00000X	Nutritionist
2	133NN1002X	Nutrition Education Nutritionist
3	172A00000X	Driver
4	175T00000X	Peer Specialist
5	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1568308286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRATEFUL INSIGHT LLC

Provider Business Mailing Address
First Line	:	415 N. HIGGINS AVE.
Second Line	:	SUITE 4
City	:	MISSOULA
State	:	MT
Zip	:	59802-4563
Country	:	US
Telephone Number	:	406-210-8239
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 N. HIGGINS AVE.
Second Line	:	SUITE 4
City	:	MISSOULA
State	:	MT
Zip	:	59802-4563
Country	:	US
Telephone Number	:	406-210-8239
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	CHATELLE M MAIN
Credential	:	CBHPSS
Telephone Number	:	406-210-8239

Provider Enumeration Date	:	04/25/2026
Last Update Date	:	04/25/2026

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Directions to “GRATEFUL INSIGHT LLC ” Practice Location

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