Healthcare Provider Details

I. General information

NPI: 1922936046
Provider Name (Legal Business Name): SUNSET JOURNEY THERAPEUTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 BUCKHORN TRL
BOZEMAN MT
59718-7944
US

IV. Provider business mailing address

118 BUCKHORN TRL
BOZEMAN MT
59718-7944
US

V. Phone/Fax

Practice location:
  • Phone: 406-314-1980
  • Fax:
Mailing address:
  • Phone: 406-314-1980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE REGEL RUFFATTO
Title or Position: OWNER
Credential: LCSW
Phone: 406-314-1980