CAMALLA L LARSON LCSW LLC (NPI# 1508389115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508389115 |
| Entity Type | Organization |
| Organization Name | CAMALLA L LARSON LCSW LLC |
| Practice Address |
38 E Washington St Ste 3 Kalispell MT 59901-3974 |
| Practice Telephone | 4063146313 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | CAMALLA LARSON (PRESIDENT) |
| Authorized Official Telephone | 4068711243 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
38 E WASHINGTON ST STE 3 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629590179 | Garrett Clayton Epperson | Social Worker | 38 E Washington St Ste 3, Kalispell, MT 59901-3974 | 2017-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964302 | Camille Deitz | Counselor | 17 2nd St E Ste 210, Kalispell, MT 59901-4500 | 2019-10-21 |
| 1033778105 | Stephen Marten | Counselor | 151 Business Center Loop, Kalispell, MT 59901-8559 | 2019-06-11 |
| 1407347164 | Diane Vonderheide | Counselor | 100 Financial Dr Ste 150, Kalispell, MT 59901-6002 | 2018-05-29 |
| 1346791241 | Julie Frederick | Counselor | 1354 Airport Rd, Kalispell, MT 59901-5701 | 2016-10-17 |
| 1467800235 | Greg Windham | Counselor | 1416 Woodland Ave, Kalispell, MT 59901-5147 | 2016-06-02 |
| 1275900078 | Kathryn Ryen | Counselor | 18 W Evergreen Dr, Kalispell, MT 59901-2810 | 2015-08-27 |
| 1164770301 | Sean Patrick | Counselor | 40 2nd St E Ste 230, Kalispell, MT 59901-6114 | 2012-08-20 |
| 1477835478 | Robin H Celkupa | Counselor | 690 N Meridian Rd Ste 205, Kalispell, MT 59901-3508 | 2011-09-15 |
| 1396042842 | Jennifer Kay Prendergast | Counselor | 322 2nd Ave W, Kalispell, MT 59901-4894 | 2011-02-18 |
| 1861714537 | Allyson Norwood Bush | Counselor | 723 5th Ave E # 10c, Kalispell, MT 59901-5321 | 2010-02-23 |
| Find all providers in KALISPELL | ||||
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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.