Organization Name: | MONTANA TELEPSYCH SOLUTIONS INC. |
NPI Number: | 1003243064 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTY KAY BOESE (OWNER) |
Mailing Address: | 4185 N Montana Ave Suite 5 Helena |
State: | MT US |
Postal Code: | 596027665 |
Phone Number: | 4064422032 |
Fax Number: | 4064422097 |
NPI Enumeration Date: | 10/03/2013 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | NUR-RN-LIC-27589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |