Provider Demographics
NPI:1750267175
Name:HEADWAY - A THERAPY COLLECTIVE, PLLC
Entity type:Organization
Organization Name:HEADWAY - A THERAPY COLLECTIVE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:406-201-8468
Mailing Address - Street 1:2945 BAYARD ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-4609
Mailing Address - Country:US
Mailing Address - Phone:406-201-8468
Mailing Address - Fax:802-243-9655
Practice Address - Street 1:2945 BAYARD ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-4609
Practice Address - Country:US
Practice Address - Phone:406-201-8468
Practice Address - Fax:802-243-9655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1447890389OtherBCBS OF MONTANA
1447890389OtherPACIFIC SOURCE HEALTH PLANS
MT1447890389Medicaid