| White Buffalo Star, Inc | |
|
47855 Gallatin Rd Unit 1 Big Sky MT 59716 | |
| (072) 286-3597 | |
| Not Available |
| Full Name | White Buffalo Star, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 47855 Gallatin Rd, Big Sky, Montana |
| Authorized Official Name and Position | Darcy Dobb (OWNER) |
| Authorized Official Contact | 7072286359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White Buffalo Star, Inc 47855 Gallatin Rd Unit 1 Big Sky MT 59716 Ph: () - | White Buffalo Star, Inc 47855 Gallatin Rd Unit 1 Big Sky MT 59716 Ph: (072) 286-3597 |
| NPI Number | 1134896061 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 10/06/2021 |
| Certification Date | 10/06/2021 |
| Medicare PECOS PAC ID | 0941698815 |
|---|---|
| Medicare Enrollment ID | O20211026001235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134896061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Darcy Dobb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124460266 PECOS PAC ID: 3274954128 Enrollment ID: I20200601001104 |
Big Sky Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Simkins Dr., Big Sky, MT 59730 Phone: 406-510-3006 | |
Big Sky Behavioral Therapy, Pllc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3170 Two Moons Rd., Big Sky, MT 59716 Phone: 914-391-9972 |