MRS. EVELYN ANN O LEARY BENNETT RN LCPC NPI 1043398571

NPI Information

NPI: 1043398571
Provider Name: MRS. EVELYN ANN O LEARY BENNETT, RN LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
127 N HIGGINS AVE RM 206
MISSOULA, MT
ZIP 59802
Phone: (406) 549-2625
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MRS. Evelyn Ann O Leary Bennett, RN LCPC is a professional counselor in Missoula, MT. MRS. Evelyn Ann O Leary Bennett, RN LCPC NPI is 1043398571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

127 N HIGGINS AVE RM 206
MISSOULA, MT
ZIP 59802-457
Phone: (406) 549-2625

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	484LCPC	MONTANA	Yes
2	163WR0400X	Registered Nurse	Rehabilitation	09268	MONTANA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13005657	OTHER	MONTANA	MT ST FUND PAYEE
2	0253657	MEDICAID	MONTANA
3	00080078	MEDICARE ID-TYPE UNSPECIFIED	MONTANA
4	74903	OTHER	MONTANA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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