| White Buffalo Star, Inc | |
|
113 S. First St Ennis MT 59729 | |
| (707) 228-6359 | |
| Not Available |
| Full Name | White Buffalo Star, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 113 S. First St, Ennis, 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 4820 Venetian Blvd Ne St Petersburg FL 33703-4228 Ph: (707) 228-6359 | White Buffalo Star, Inc 113 S. First St Ennis MT 59729 Ph: (707) 228-6359 |
| NPI Number | 1134896061 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 07/11/2025 |
| Certification Date | 06/29/2025 |
| 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 |
Ld Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 E Main St Unit 1e, Ennis, MT 59729 Phone: 406-570-2692 |