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NPI Code Detail

MEDICARE: WINSOME THERAPY CLINIC LLC

MEDICARE: WINSOME THERAPY CLINIC LLC
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1952096471
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINSOME THERAPY CLINIC LLC
Provider Business Mailing Address
First Line : 1215 24TH ST W STE 130
Second Line :
City : BILLINGS
State : MT
Zip : 59102-3895
Country : US
Telephone Number : 406-901-5000
Fax Number : 406-552-1482
Provider Business Practice Location Address
First Line : 801 15TH ST W LOWR
Second Line :
City : BILLINGS
State : MT
Zip : 59102-4175
Country : US
Telephone Number : 406-901-5000
Fax Number : 406-552-1482
Authorized Official
Title or Position : BEHAVIOR ANALYST
Name : LIDIANE M KERR
Credential : BCBA
Telephone Number : 406-860-1480
Provider Enumeration Date : 04/10/2023
Last Update Date : 07/02/2025

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Directions to “WINSOME THERAPY CLINIC LLC ” Practice Location

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