Healthcare Provider Details

I. General information

NPI: 1013834043
Provider Name (Legal Business Name): FIRST VILLAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 GRAND AVE
BILLINGS MT
59101-5821
US

IV. Provider business mailing address

629 GRAND AVE
BILLINGS MT
59101-5821
US

V. Phone/Fax

Practice location:
  • Phone: 406-604-8015
  • Fax:
Mailing address:
  • Phone: 406-604-8015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SARAH COFFRIN
Title or Position: SLP
Credential: MA CCC-SLP
Phone: 701-566-1530