| Restorative Mind Therapy Llc | |
|
5915 Albany Ave Butte MT 59701-7402 | |
| (406) 221-6273 | |
| Not Available |
| Full Name | Restorative Mind Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5915 Albany Ave, Butte, Montana |
| Authorized Official Name and Position | Keri Stephanoff (THERAPIST/OWNER) |
| Authorized Official Contact | 4062216273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Mind Therapy Llc 116082 Fleecer Rd Butte MT 59750-9710 Ph: (406) 221-6273 | Restorative Mind Therapy Llc 5915 Albany Ave Butte MT 59701-7402 Ph: (406) 221-6273 |
| NPI Number | 1871248914 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 02/21/2022 |
| Certification Date | 02/21/2022 |
| Medicare PECOS PAC ID | 5193119311 |
|---|---|
| Medicare Enrollment ID | O20220303001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871248914 | NPI | - | NPPES |
| Provider Name | Keri M Stephanoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578066544 PECOS PAC ID: 0244624476 Enrollment ID: I20220303001370 |
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