Sapphire Behavioral Health Llc | |
502 N Pine St Townsend MT 59644-2008 | |
(406) 980-1741 | |
Not Available |
Full Name | Sapphire Behavioral Health Llc |
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Speciality | Community/Behavioral Health |
Location | 502 N Pine St, Townsend, Montana |
Authorized Official Name and Position | Lareissa-marie Swenson (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 4069801741 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sapphire Behavioral Health Llc 502 N Pine St Townsend MT 59644-2008 Ph: (406) 980-1741 | Sapphire Behavioral Health Llc 502 N Pine St Townsend MT 59644-2008 Ph: (406) 980-1741 |
NPI Number | 1679195242 |
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Provider Enumeration Date | 05/17/2020 |
Last Update Date | 05/17/2020 |
Certification Date | 05/17/2020 |
Medicare PECOS PAC ID | 1557758927 |
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Medicare Enrollment ID | O20220504000343 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679195242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Lareissa M Swenson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407379571 PECOS PAC ID: 0941553218 Enrollment ID: I20181102001757 |
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