| Safe Harbor Therapeutic Services Llc | |
|
2475 Village Ln Ste 102 Billings MT 59102-2497 | |
| (406) 696-2246 | |
| (406) 896-0231 |
| Full Name | Safe Harbor Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2475 Village Ln, Billings, Montana |
| Authorized Official Name and Position | Dennis William Muri (OWNER/THERAPIST) |
| Authorized Official Contact | 4066962246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbor Therapeutic Services Llc Po Box 21292 Billings MT 59104-1292 Ph: (406) 696-2246 | Safe Harbor Therapeutic Services Llc 2475 Village Ln Ste 102 Billings MT 59102-2497 Ph: (406) 696-2246 |
| NPI Number | 1205165735 |
|---|---|
| Provider Enumeration Date | 12/11/2009 |
| Last Update Date | 12/11/2009 |
| Medicare PECOS PAC ID | 1658411095 |
|---|---|
| Medicare Enrollment ID | O20091216000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205165735 | NPI | - | NPPES |
| 1710128764 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1130 LAC (Montana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 841-LCSW (Montana) | Primary |
| Provider Name | Dennis W Muri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710128764 PECOS PAC ID: 0749320182 Enrollment ID: I20091216000389 |
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