OrganizationActive
Embodiment Therapy LLC
NPI 1649816588 · Clinical Social Worker · Ronan, MT
Provider details
- NPI number
- 1649816588
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jean Church, Provider(865) 368-5298
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
63917 US Highway 93
Ronan, MT 59864-3411
Phone: (865) 368-5298
Fax: (406) 571-4008
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 423
Ronan, MT 59864-0423
Other names (DBA / former)
- Other name
- Embodiment Therapy
Registry dates
- Enumerated
- 2019-11-26
- Last updated
- 2022-02-24
- Certified
- 2022-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.