Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tazia Wisdom, PCLC

Individual provider Mental Health Counselor · NPI 1013715234

Tazia Wisdom, PCLC is a Mental Health Counselor in Kalispell, Montana. Qualified in 2021, 5 years ago. Licensed in Montana.

Years since qualifying
5
Licensed in
MT
In the registry since
2025

Practice location Address checks out

1935 3rd Ave E
Kalispell, MT 59901-5780
Phone: (504) 357-1773
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence BBH-LCPC-LIC-87709 (MT)

Record details

NPI number1013715234
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCLC
Sole proprietorNo
NPI enumeratedMarch 4, 2025
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address404 3rd Ave E, Kalispell, MT 59901-4907

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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