| Pine Ridge Counseling Llc | |
|
4530 Brookhaven Pl Billings MT 59105-4939 | |
| (406) 252-1177 | |
| Not Available |
| Full Name | Pine Ridge Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4530 Brookhaven Pl, Billings, Montana |
| Authorized Official Name and Position | Jason L Buyse (SOLE MEMBER) |
| Authorized Official Contact | 4062521177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Ridge Counseling Llc 4530 Brookhaven Pl Billings MT 59105-4939 Ph: () - | Pine Ridge Counseling Llc 4530 Brookhaven Pl Billings MT 59105-4939 Ph: (406) 252-1177 |
| NPI Number | 1417257163 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 10/28/2010 |
| Medicare PECOS PAC ID | 3072709195 |
|---|---|
| Medicare Enrollment ID | O20101130001448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417257163 | NPI | - | NPPES |
| 1720251101 | Other | MT | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 818-LCSW (Montana) | Primary |
| Provider Name | Jason L Buyse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720251101 PECOS PAC ID: 6709072820 Enrollment ID: I20101203000456 |
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