Healthcare Provider Details

I. General information

NPI: 1942492152
Provider Name (Legal Business Name): SCHAEFER PSYCHIATRIC SERVICES, PLLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2007
Last Update Date: 07/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4185 N MONTANA AVE SUITE 5
HELENA MT
59602-7665
US

IV. Provider business mailing address

4185 N MONTANA AVE SUITE 5
HELENA MT
59602-7665
US

V. Phone/Fax

Practice location:
  • Phone: 406-442-2032
  • Fax: 406-442-2097
Mailing address:
  • Phone: 406-442-2032
  • Fax: 406-442-2097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberP10628-09 146173
License Number StateMT

VIII. Authorized Official

Name: DR. DAVID S. SCHAEFER
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 406-442-2032