| Ridgeline Counseling Services, Llc | |
|
141 Discovery Dr Unit 113 Bozeman MT 59718-6995 | |
| (406) 548-5487 | |
| Not Available |
| Full Name | Ridgeline Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 141 Discovery Dr, Bozeman, Montana |
| Authorized Official Name and Position | Arthur Justin Short (OWNER) |
| Authorized Official Contact | 4065485487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeline Counseling Services, Llc Po Box 11076 Bozeman MT 59719-1076 Ph: () - | Ridgeline Counseling Services, Llc 141 Discovery Dr Unit 113 Bozeman MT 59718-6995 Ph: (406) 548-5487 |
| NPI Number | 1982002713 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 12/29/2015 |
| Medicare PECOS PAC ID | 2365766078 |
|---|---|
| Medicare Enrollment ID | O20150128000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982002713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SWP-LCSW-LIC-8308 (Montana) | Primary |
| Provider Name | Arthur Justin Short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922404862 PECOS PAC ID: 3274857982 Enrollment ID: I20150128000853 |
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