Healthcare Provider Details

I. General information

NPI: 1275005738
Provider Name (Legal Business Name): PHRONSIE SPRENGER LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2018
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 W KAGY BLVD STE D
BOZEMAN MT
59715-6043
US

IV. Provider business mailing address

PO BOX 1003
BOZEMAN MT
59771-1003
US

V. Phone/Fax

Practice location:
  • Phone: 406-920-1927
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. PHRONSIE SPRENGER
Title or Position: MEMBER/REGISTERED AGENT
Credential: LCSW, CST
Phone: 406-920-1927