MEDICARE: SUNSET JOURNEY THERAPEUTIC SERVICES

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1922936046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET JOURNEY THERAPEUTIC SERVICES

Provider Business Mailing Address
First Line	:	118 BUCKHORN TRL
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-7944
Country	:	US
Telephone Number	:	406-314-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 BUCKHORN TRL
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-7944
Country	:	US
Telephone Number	:	406-314-1980
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICHOLE REGEL RUFFATTO
Credential	:	LCSW
Telephone Number	:	406-314-1980

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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