| Big Sky Sex Therapy | |
|
115 W Kagy Blvd Ste D Bozeman MT 59715-6043 | |
| (406) 920-1927 | |
| Not Available |
| Full Name | Big Sky Sex Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 115 W Kagy Blvd Ste D, Bozeman, Montana |
| Authorized Official Name and Position | Phronsie Sprenger (MEMBER/REGISTERED AGENT) |
| Authorized Official Contact | 4069201927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Sky Sex Therapy Po Box 1003 Bozeman MT 59771-1003 Ph: () - | Big Sky Sex Therapy 115 W Kagy Blvd Ste D Bozeman MT 59715-6043 Ph: (406) 920-1927 |
| NPI Number | 1275005738 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Medicare PECOS PAC ID | 5294072286 |
|---|---|
| Medicare Enrollment ID | O20190308000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275005738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Phronsie Sprenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457756512 PECOS PAC ID: 3274852074 Enrollment ID: I20150429000461 |
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