| Restoration Wellness And Therapeutic Services Llc | |
|
124 S Main St Ste 211 Livingston MT 59047-2664 | |
| (406) 223-2877 | |
| Not Available |
| Full Name | Restoration Wellness And Therapeutic Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 124 S Main St Ste 211, Livingston, Montana |
| Authorized Official Name and Position | Sara Beth Bandstra (OWNER) |
| Authorized Official Contact | 4062232877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Wellness And Therapeutic Services Llc Po Box 1681 Livingston MT 59047-4701 Ph: (406) 223-2877 | Restoration Wellness And Therapeutic Services Llc 124 S Main St Ste 211 Livingston MT 59047-2664 Ph: (406) 223-2877 |
| NPI Number | 1992410096 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/07/2023 |
| Medicare PECOS PAC ID | 6608249149 |
|---|---|
| Medicare Enrollment ID | O20230302001589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992410096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sara Beth Bandstra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447805460 PECOS PAC ID: 1658602735 Enrollment ID: I20191004001139 |
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