| Secure Base Therapy, Pllc | |
|
113 W Front St Ste 109 Missoula MT 59802-4327 | |
| (406) 531-2948 | |
| Not Available |
| Full Name | Secure Base Therapy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 113 W Front St Ste 109, Missoula, Montana |
| Authorized Official Name and Position | Theresa O'keefe (OWNER) |
| Authorized Official Contact | 4063041192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Secure Base Therapy, Pllc 17669 Calamity Ln Huson MT 59846-9006 Ph: (406) 304-1192 | Secure Base Therapy, Pllc 113 W Front St Ste 109 Missoula MT 59802-4327 Ph: (406) 531-2948 |
| NPI Number | 1609683143 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Medicare PECOS PAC ID | 0244754331 |
|---|---|
| Medicare Enrollment ID | O20250410001373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609683143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Theresa O'keefe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245982842 PECOS PAC ID: 1153845243 Enrollment ID: I20250410001449 |
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