| The Threshold Group | |
|
7 West 11th Red Lodge MT 59068-1311 | |
| (406) 860-6481 | |
| Not Available |
| Full Name | The Threshold Group |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7 West 11th, Red Lodge, Montana |
| Authorized Official Name and Position | Marilee D. Smith (OWNER) |
| Authorized Official Contact | 4068606481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Threshold Group Po Box 1311 Red Lodge MT 59068-1311 Ph: (406) 860-6481 | The Threshold Group 7 West 11th Red Lodge MT 59068-1311 Ph: (406) 860-6481 |
| NPI Number | 1396805404 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396805404 | NPI | - | NPPES |
| 0251589 | Medicaid | MT | |
| 74891 | Other | MT | BLUE CROSS-SHIELD OF MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 353 (Montana) | Primary |
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