A Better Life Therapeutic Services, P.c. | |
1729 Florence Ave Butte MT 59701-5408 | |
(406) 565-5583 | |
(406) 565-5584 |
Full Name | A Better Life Therapeutic Services, P.c. |
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Speciality | Social Worker |
Location | 1729 Florence Ave, Butte, Montana |
Authorized Official Name and Position | Daynen Jean Lalicker (PRESIDENT) |
Authorized Official Contact | 4065655583 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A Better Life Therapeutic Services, P.c. 1729 Florence Ave Butte MT 59701-5408 Ph: (406) 565-5583 | A Better Life Therapeutic Services, P.c. 1729 Florence Ave Butte MT 59701-5408 Ph: (406) 565-5583 |
NPI Number | 1053865196 |
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Provider Enumeration Date | 08/05/2016 |
Last Update Date | 08/05/2016 |
Medicare PECOS PAC ID | 7113206921 |
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Medicare Enrollment ID | O20161118001718 |
Identifier | Type | State | Issuer |
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1053865196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5323-LCSW (Montana) | Primary |
Provider Name | Daynen Jean Lalicker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629270905 PECOS PAC ID: 8022397835 Enrollment ID: I20161118001859 |
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