Healthcare Provider Details
I. General information
NPI: 1417121963
Provider Name (Legal Business Name): FERRO THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/16/2008
Last Update Date: 11/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1643 LEWIS AVE SUITE 4
BILLINGS MT
59102-4151
US
IV. Provider business mailing address
1643 LEWIS AVE SUITE4
BILLINGS MT
59102-4151
US
V. Phone/Fax
- Phone: 406-255-0209
- Fax: 406-294-0967
- Phone: 406-255-0209
- Fax: 406-294-0967
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 77 LCPC |
| License Number State | MT |
VIII. Authorized Official
Name:
THOMAS
J
FERRO
Title or Position: OWNER
Credential: LCPC
Phone: 406-255-0209