Elliott, Jeniffer

Elliott, Jeniffer is an individual health care provider with primary practice located at 410 Central Ave Ste 512 , Great Falls MT 59401-3128. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Elliott, Jeniffer can be contacted via phone (406) 781-3087.

Contact Information

Primary practice address
410 Central Ave Ste 512 Great Falls MT 59401-3128
Phone: (406) 781-3087
Fax: (406) 866-0330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7333 Montana
Behavioral Health & Social Service Providers / Professional 101YP2500X 7333 Montana

Profile Details

NPI number 1750757993
LBN Legal business name Elliott, Jeniffer
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Apr 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750757993 NPPES
Montana MEDICAID 0422188

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