Terri L Gordon, MSW (STUDENT)
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Kalispell, MT
NPI 1366901720 · NPPES record last updated Mar 18, 2020
Key facts
- NPI
- 1366901720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 428 Church Dr
Kalispell, MT 59901-6955 - Phone
- (406) 607-7065
- Fax
- (406) 730-4050
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Health Healing LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
428 Church Dr
Kalispell, MT 59901-6955
Mailing address
428 Church Dr
Kalispell, MT 59901-6955
Phone (406) 241-4575
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Terri.secondchances@outlook.com | Direct |
Other providers in Kalispell, MT
- Going Within Wellness LLC
- Erica Tayler Gold
- Mary Gold
- Kathren Gonzalez
- Stephanie R Gordon
- Erin Goudreau
- Kenneth J Graham
- Robin Larrick Graham
- Monicka Marie Granger
- Amber R Granzow
All providers in Kalispell, MT · Student in an Organized Health Care Education/Training Program in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.