EATING DISORDER CENTER OF MONTANA NPI 1053751487

NPI Information

NPI: 1053751487
Provider Name: EATING DISORDER CENTER OF MONTANA
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
14 S WILLSON AVE
SUITE 102
BOZEMAN, MT
ZIP 59715
Phone: (805) 637-4900
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EATING DISORDER CENTER OF MONTANA is a mental health counselor in Bozeman, MT. EATING DISORDER CENTER OF MONTANA NPI is 1053751487. The provider is registered as an organization entity type.

The provider's business location address is:

14 S WILLSON AVE
SUITE 102
BOZEMAN, MT
ZIP 59715-232
Phone: (805) 637-4900
Fax: (406) 551-1209

The provider's authorized official is Jeni Ruth Gochin .
The authorized official title is Clinical Director and has the following contact phone number (805) 637-4900.

The enumeration date for this NPI number is 6/29/2013 and was last updated on 8/28/2020.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM1300X	Clinic/Center	Multi-Specialty	No
3	103TC0700X	Psychologist	Clinical	No
4	1041C0700X	Social Worker	Clinical	No
5	133V00000X	Dietitian, Registered		No
6	163WG0000X	Registered Nurse	General Practice	No
7	2084P0800X	Psychiatry & Neurology	Psychiatry	No
8	101YM0800X	Counselor	Mental Health	Yes
9	101YP2500X	Counselor	Professional	No

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

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