ERIC DOUGLAS GILMORE (NPI# 1467791145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467791145 |
| Entity Type | Individual |
| Full Name | ERIC DOUGLAS GILMORE |
| Credential | MSW, LAC |
| Practice Address |
25 S Ewing St Ste 525 Helena MT 59601-6083 |
| Mailing Address |
415 N Higgins Ave Suite 123 Missoula MT 59802-4522 |
| Practice Telephone | 4064319143 |
| Practice Fax Number | 8003092162 |
| Mailing Telephone | (406) 565-6218 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2017-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1258 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | STATE LICENSE | BBH-LAC-LIC-1258 | 01 |
| FEDERAL TAX ID | 81-2353711 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417186164 | Eric Gilmore | Social Worker | 700 W 4th St, Little Rock, AR 72201-2204 | 2009-07-02 |
| Street Address |
25 S EWING ST STE 525 |
| City | HELENA |
| State | MT |
| Zip Code | 59601-6083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760981096 | Helena Valley Addiction Services | Clinic/Center | 25 S Ewing St Ste 525, Helena, MT 59601-6083 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
| 1386287795 | Intermountain Chiropractic | Chiropractor | 62 S Last Chance Gulch St. #a, Helena, MT 59601 | 2019-10-18 |
| 1417443086 | Christopher Robert Vanhorssen | Nurse Practitioner | 2619 Colonial Dr # A, Helena, MT 59601 | 2018-07-07 |
| 1548754914 | Morgan M Wagner | Physical Therapist | 25 Neill Ave, Ste 209, Helena, MT 59601 | 2018-06-19 |
| 1598254534 | Meghan E. Harrington | Speech-Language Pathologist | 15 W 6th Ave Unit H2, Helena, MT 59601 | 2018-05-04 |
| 1952820219 | Susan Wood | Physical Therapist | 3207 Colonial Dr, Helena, MT 59601 | 2017-09-18 |
| 1992223200 | James E Dempsey | Counselor | 1201 Leslie Ave, Helena, MT 59601 | 2017-09-07 |
| 1770005811 | Big Sky Managed Care | Pharmacy | 900 Jackson St Ste A, Helena, MT 59601 | 2017-07-11 |
| 1760916084 | Adrian D Strange | Physical Therapy Assistant | 2475 Winne Avenue, Helena, MT 59601 | 2017-04-13 |
| 1821539909 | Survivors Boutique | Prosthetic/Orthotic Supplier | 1054 Helena Ave, Helena, MT 59601 | 2017-03-09 |
| Find all providers in zip 59601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
| 1770108904 | Adrian Sagan Pllc | Counselor | 21 N Last Chance Gulch Ste 202, Helena, MT 59601-4108 | 2020-06-12 |
| 1497260921 | Instar Community Services | Counselor | 1826 N Last Chance Gulch, Helena, MT 59601-0700 | 2017-12-06 |
| 1992223200 | James E Dempsey | Counselor | 1201 Leslie Ave, Helena, MT 59601 | 2017-09-07 |
| 1518492784 | Kyle Ann Johnson | Counselor | 25 S Ewing St Ste 511, Helena, MT 59601-5732 | 2017-04-25 |
| 1932519089 | Deverie Ann Kelley | Counselor | 2001 11th Ave Ste 6, Helena, MT 59601-4808 | 2014-04-29 |
| 1356608806 | Art J Becker | Counselor | 635 E Broadway St, Helena, MT 59601-4311 | 2012-04-20 |
| 1619234374 | Isaac C Coy | Counselor | 2740 Lifestyle Ln, Helena, MT 59602-0242 | 2012-04-19 |
| 1093006710 | Jessica Westerhold | Counselor | 60 S. Last Chance Gulch, Helena, MT 59601 | 2011-04-28 |
| 1821301151 | Marcetta M Lay | Counselor | 435 N Last Chance Gulch, Helena, MT 59601-5015 | 2010-07-15 |
| Find all providers in HELENA | ||||
Please comment or provide details below to improve the information on ERIC DOUGLAS GILMORE.
| 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.