CODY MICHAEL PARDUE


Address: 920 4th Ave N, Great Falls, MT 59401
Phone: 4067278832

CODY MICHAEL PARDUE (NPI# 1851886030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851886030
Entity Type Individual
Full Name CODY MICHAEL PARDUE
Credential LAC
Practice Address 920 4th Ave N
Great Falls
MT 59401
Mailing Address 3616 9th Ave N
Great Falls
MT 59401-2227
Practice Telephone 4067278832
Mailing Telephone 4065901489
Enumeration Date 2018-06-28
Last Update Date 2018-06-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
BBH-LAC-LIC-2304 MT Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
26 4th St N, Great Falls, MT 594013106 4067272512

Office Location

Street Address 920 4TH AVE N
City GREAT FALLS
State MT
Zip Code 59401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952464448 Rocky Mountain Treatment Center Substance Abuse Rehabilitation Facility 920 4th Ave N, Great Falls, MT 59401-1514 2006-12-18
1679984959 Jessica Marie Hofer Counselor 920 4th Ave N, Great Falls, MT 59401-1514 2014-05-08
1972936227 Jeff Joseph Fauque Counselor 920 4th Ave N, Great Falls, MT 59401-1514 2013-08-09
1114281219 Marcie Dardis Counselor 920 4th Ave N, Great Falls, MT 59401-1514 2012-07-03
1417211517 Gary Scott Jaynes Counselor 920 4th Ave N, Great Falls, MT 59401-1514 2012-07-03
1083978175 Terrie Sandstrom Counselor 920 4th Ave N, Great Falls, MT 59401-1514 2012-07-03
1902962194 Rapheal (monty) E Kuka Psychologist 920 4th Ave N, Great Falls, MT 59401-1514 2006-12-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578025375 Stacy A Mckittrick Counselor 26 4th St S, Great Falls, MT 59401 2019-04-02
1710429956 Kenneth Engelhardt Counselor 2501 2nd Avenue North, Great Falls, MT 59401 2016-11-04
1043675945 Nathan Wade Steward Counselor 926 8th Ave North, Great Falls, MT 59401 2015-12-18
1720464340 Rivers Edge Dental Health Maintenance Organization 1900 River Drive North, Great Falls, MT 59401 2015-08-05
1508261140 Maryann Dubay Counselor 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 2014-10-24
1508291303 Teresa Schmit Social Worker 410 Central Ave Ste 507, Great Falls, MT 59401 2013-09-11
1851651863 Teresa Marie Mouser Counselor 1601 2nd Ave N Ste 208, Great Falls, MT 59401 2012-05-23
1952683542 Mary Dolores Mancillas-loveless Physical Therapy Assistant 612 1st Ave. So., Great Falls, MT 59401 2011-09-09
1629363338 Tanya Lee Harant Technician, Other 614 Central Ave., Great Falls, MT 59401 2011-06-10
1528384500 Bridget Troy Hanson Social Worker 1601 2nd Ave N Ste 450, Great Falls, MT 59401 2010-04-15
Find all providers in zip 59401

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427603018 Seeking Recovery Counselor 1601 2nd Ave N Ste 335, Great Falls, MT 59401-3259 2019-08-09
1578025375 Stacy A Mckittrick Counselor 26 4th St S, Great Falls, MT 59401 2019-04-02
1073029369 Janine Lou Hieb Counselor 600 Central Ave Ste 212, Great Falls, MT 59401-3141 2017-12-21
1043675945 Nathan Wade Steward Counselor 926 8th Ave North, Great Falls, MT 59401 2015-12-18
1750769592 Emily Shelton Counselor 914 20th St S, Great Falls, MT 59405-2743 2015-05-13
1508261140 Maryann Dubay Counselor 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 2014-10-24
1417371915 Mary Marsh Counselor 600 Central Ave Ste 16, Great Falls, MT 59401-3141 2014-02-05
1427487057 Erin K Burch Counselor 1417 9th Street South, Suite 200, Great Falls, MT 59401-4304 2013-11-04
1851651863 Teresa Marie Mouser Counselor 1601 2nd Ave N Ste 208, Great Falls, MT 59401 2012-05-23
1144519083 Via Vita LLC Counselor 320 1st Ave N, Great Falls, MT 59401-2506 2011-03-31
Find all providers in GREAT FALLS

Competitor

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City GREAT FALLS
Zip Code 59401

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Dataset Information

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.

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