| Amy Keefer, Llc | |
|
1600 Ellis St Ste 1c Bozeman MT 59715-8837 | |
| (406) 581-9855 | |
| (406) 587-9422 |
| Full Name | Amy Keefer, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1600 Ellis St Ste 1c, Bozeman, Montana |
| Authorized Official Name and Position | Amy Lichtenstein Keefer (THERAPIST) |
| Authorized Official Contact | 4065819855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Keefer, Llc 1202 S Pinecrest Dr Bozeman MT 59715-5943 Ph: (406) 581-9855 | Amy Keefer, Llc 1600 Ellis St Ste 1c Bozeman MT 59715-8837 Ph: (406) 581-9855 |
| NPI Number | 1518470020 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 11/07/2017 |
| Medicare PECOS PAC ID | 8820358088 |
|---|---|
| Medicare Enrollment ID | O20180207002227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518470020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 509 (Montana) | Primary |
| Provider Name | Amy L Keefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972650505 PECOS PAC ID: 0345375770 Enrollment ID: I20100324000105 |
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