MRS. STACEY M. DEWITT (NPI# 1316190317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316190317 |
Entity Type | Individual |
Full Name | MRS. STACEY M. DEWITT |
Other Name | STACEY M. PENTON |
Credential | MA, LCPC |
Practice Address |
1305 Wyoming St Missoula MT 59801-1725 |
Mailing Address |
T-9 Fort Missoula Missoula MT 59804-7202 |
Practice Telephone | 4065329770 |
Practice Fax Number | 4065413034 |
Mailing Telephone | 4065328400 |
Mailing Fax Number | 4065439316 |
Enumeration Date | 2008-11-04 |
Last Update Date | 2008-11-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
1385 | MT | Behavioral Health & Social Service Providers |
Street Address |
1305 WYOMING ST |
City | MISSOULA |
State | MT |
Zip Code | 59801-1725 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346323441 | Torgeir John Finsaas | Psychiatry & Neurology | 1305 Wyoming St, Missoula, MT 59801-1725 | 2006-10-23 |
1932727716 | Amanda Michele Powers | Counselor | 1305 Wyoming St, Missoula, MT 59801-1725 | 2020-07-08 |
1679105225 | Nicole Gratch | Social Worker | 1305 Wyoming St, Missoula, MT 59801-1725 | 2020-02-11 |
1073152187 | Joey Lee Moore | Counselor | 1305 Wyoming St, Missoula, MT 59801-1725 | 2020-01-06 |
1700434867 | Melinda Ward | Social Worker | 1305 Wyoming St, Missoula, MT 59801-1725 | 2019-08-30 |
1205480118 | Ashley Cheung | Social Worker | 1305 Wyoming St, Missoula, MT 59801-1725 | 2019-07-29 |
1366096687 | Amora Wilkins | Social Worker | 1305 Wyoming St, Missoula, MT 59801-1725 | 2019-07-25 |
1578125654 | Allyson Foster | Counselor | 1305 Wyoming St, Missoula, MT 59801-1725 | 2019-06-28 |
1053975128 | Anne Lane | Counselor | 1305 Wyoming St, Missoula, MT 59801-1725 | 2019-04-24 |
1255994521 | Sherrie Mobley | Counselor | 1305 Wyoming St, Missoula, MT 59801-1725 | 2019-04-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
Find all providers in zip 59801 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616489 | Heather Nichols | Counselor | 12195 Pulp Mill Rd, Missoula, MT 59808-9711 | 2020-10-16 |
1609489822 | Chrysalis Counseling | Counselor | 1119 W Kent Ave Ste F, Missoula, MT 59801-6687 | 2020-08-27 |
1699305029 | Jeffrey Valentine | Counselor | 3011 American Way, Missoula, MT 59808-1921 | 2020-01-24 |
1871052134 | Joseph Brent Suchanic | Counselor | 500 N Higgins Ave Ste 107, Missoula, MT 59802-4550 | 2019-03-17 |
1861958431 | Amy Friedman | Counselor | 720 Brooks St., Missoula, MT 59801-5980 | 2019-02-19 |
1033683594 | Ariel Goodman | Counselor | 633 S 3rd St W Apt 4, Missoula, MT 59801-2541 | 2019-01-17 |
1922570324 | Beth D Howard | Counselor | 2901 W Broadway St Ste 206, Missoula, MT 59808-1773 | 2018-12-23 |
1972074888 | Kristin Kimberly Stratford | Counselor | 2831 Fort Missoula Rd Ste 305, Missoula, MT 59804-7479 | 2018-12-17 |
1043728314 | Ayme Lynne Krogstad | Counselor | 2237 S 3rd St W, Missoula, MT 59801-1334 | 2018-01-19 |
1821523580 | Stacey Lynn Graves | Counselor | 913 Sw Higgins Ave Ste 202, Missoula, MT 59803-1423 | 2017-05-01 |
Find all providers in MISSOULA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.