Provider Demographics
NPI:1275005738
Name:PHRONSIE SPRENGER LCSW LLC
Entity Type:Organization
Organization Name:PHRONSIE SPRENGER LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/REGISTERED AGENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHRONSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRENGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CST
Authorized Official - Phone:406-920-1927
Mailing Address - Street 1:3404 WAGONWHEEL RD
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-8024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:416 N 7TH AVE
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3310
Practice Address - Country:US
Practice Address - Phone:406-920-1927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty