| Big Sky Behavioral Therapy, Pllc. | |
|
3170 Two Moons Rd. Big Sky MT 59716-0771 | |
| (914) 391-9972 | |
| Not Available |
| Full Name | Big Sky Behavioral Therapy, Pllc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3170 Two Moons Rd., Big Sky, Montana |
| Authorized Official Name and Position | Jeanne Lightbody (PRESIDENT) |
| Authorized Official Contact | 9143919972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Sky Behavioral Therapy, Pllc. Po Box 160771 Big Sky MT 59716-0771 Ph: (914) 391-9972 | Big Sky Behavioral Therapy, Pllc. 3170 Two Moons Rd. Big Sky MT 59716-0771 Ph: (914) 391-9972 |
| NPI Number | 1790224988 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 02/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790224988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-14-10041 (Colorado) | Primary |
Excelsior Holdings Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Simkins Dr., Big Sky, MT 59730 Phone: 406-510-3006 |