LIFE SOURCE LLC (NPI# 1922510890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922510890 |
| Entity Type | Organization |
| Organization Name | LIFE SOURCE LLC |
| Practice Address |
127 W Main St Ste B-2 Hamilton MT 59840-2581 |
| Mailing Address |
Po Box 127 Hamilton MT 59840-0127 |
| Practice Telephone | 7703549621 |
| Mailing Telephone | 7703549621 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |
| Authorized Official Name | FRED MICHAEL HUSKEY (THERAPIST--PARTNER) |
| Authorized Official Telephone | 4063605481 |
| Authorized Official Credential | LCPC/CMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
387-LCPC | MT | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIFE SOURCE LLC | P.o. Box 490, Williamsville, New York 14231 |
| Street Address |
127 W MAIN ST STE B-2 |
| City | HAMILTON |
| State | MT |
| Zip Code | 59840-2581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104253 | Nora Caitlin Healy | Nurse Practitioner | 201 North 10th Street, Hamilton, MT 59840 | 2019-10-03 |
| 1396202461 | Glacier Counseling and Animal Assisted Therapy | Counselor | 127 W. Main Street, Signal Square Suit A, Hamilton, MT 59840 | 2019-02-26 |
| 1851806590 | Emma's House Childrens Advocacy Center | Social Worker | 800 N. 2nd Street, Hamilton, MT 59840 | 2017-12-04 |
| 1316463136 | Wilderness Medics, Inc. | Emergency Medicine | 2069 Norman Way, Hamilton, MT 59840 | 2017-08-15 |
| 1740642149 | Katherine Grace Messer | Pharmacist | 704 S 3rd St, Hamilton, MT 59840 | 2016-03-24 |
| 1659737948 | Susan Berland | Physical Therapist | 484 Old Corvallis Rd, Suite B, Hamilton, MT 59840 | 2016-01-03 |
| 1548653074 | Adrianna Claire Starck | Counselor | 400 W Main St Ste 203, Hamilton, MT 59840 | 2015-03-09 |
| 1942623178 | Irene Walters Family Psychiatry PC | Registered Nurse | 99 Marcus Street, Suite C4, Hamilton, MT 59840 | 2014-01-23 |
| 1063758126 | Bitterroot Quality Care, Inc. | Assisted Living Facility | 842 New York Ave., Hamilton, MT 59840 | 2012-12-18 |
| 1639431224 | Carleen Dawn Grussling | Social Worker | 120 Copper King Ct Ste A, Hamilton, MT 59840 | 2012-06-11 |
| Find all providers in zip 59840 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093320152 | Becki Koon | Counselor | 167 S 2nd St, Hamilton, MT 59840-2519 | 2020-09-14 |
| 1396202461 | Glacier Counseling and Animal Assisted Therapy | Counselor | 127 W. Main Street, Signal Square Suit A, Hamilton, MT 59840 | 2019-02-26 |
| 1164912960 | Monica V Barria | Counselor | 3705 Quakerbridge Rd Ste 204, Hamilton, NJ 08619-1288 | 2018-05-16 |
| 1831601327 | Victoria Rheinhardt | Counselor | 453 Independence Ave, Hamilton, NJ 08610-5705 | 2017-10-25 |
| 1376992552 | Verily Harris-harper | Counselor | 3525 Quakerbridge Rd Ste 903, Hamilton, NJ 08619-1266 | 2016-06-08 |
| 1437506458 | Ralinda Aspey | Counselor | 1435 Military St N, Hamilton, AL 35570-3100 | 2016-05-19 |
| 1659730224 | Joseph Kevin Carrico | Counselor | 16 Clifford E Harbourt Dr, Hamilton, NJ 08690-3311 | 2016-02-11 |
| 1578942397 | Lynse Marie Jump | Counselor | 1623 Eden Park Dr Apt 2, Hamilton, OH 45013-5527 | 2015-05-26 |
| 1548653074 | Adrianna Claire Starck | Counselor | 400 W Main St Ste 203, Hamilton, MT 59840 | 2015-03-09 |
| 1619376936 | Ohio Treatment and Counseling Center | Counselor | 3041 Symmes Rd Ste D, Hamilton, OH 45015-1383 | 2014-08-22 |
| Find all providers in HAMILTON | ||||
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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.