MRS. TRACY LAUREL BROTHERS (NPI# 1316378185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316378185 |
| Entity Type | Individual |
| Full Name | MRS. TRACY LAUREL BROTHERS |
| Credential | LCPC |
| Practice Address |
1305 Wyoming Street Missoula MT 59804 |
| Mailing Address |
3255 Lt. Moss Road Missoula MT 59804-7298 |
| Practice Telephone | 5065329770 |
| Practice Fax Number | 4065413034 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4780 | MT | Behavioral Health & Social Service Providers |
| Street Address |
1305 WYOMING STREET |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| 1710286596 | Home Health of Montana Private Services LLC | Clinic/Center | 29 Fort Missoula Road, Missoula, MT 59804 | 2011-03-20 |
| Find all providers in zip 59804 | ||||
| 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.