MEDICARE: REFUGE THERAPEUTIC SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1639768872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFUGE THERAPEUTIC SERVICES PLLC

Provider Business Mailing Address
First Line	:	905 ARONSON AVE
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59105-2315
Country	:	US
Telephone Number	:	406-694-2409
Fax Number	:

Provider Business Practice Location Address
First Line	:	944 AVENUE B
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-3346
Country	:	US
Telephone Number	:	406-530-5227
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MRS. JANET KATHRYN ROSS
Credential	:	LCSW
Telephone Number	:	406-694-2409

Provider Enumeration Date	:	01/12/2021
Last Update Date	:	01/18/2021

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