MR. NATHANIEL A MOORE LAC NPI 1518565803

NPI Information

  • NPI: 1518565803
  • Provider Name: MR. NATHANIEL A MOORE, LAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 200 HUBBART DAM RD
    MARION, MT
    ZIP 59925
  • Phone: (406) 296-4272

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NPI Details

MR. Nathaniel A Moore, LAC is an addiction (substance use disorder) counselor in Marion, MT. MR. Nathaniel A Moore, LAC NPI is 1518565803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 HUBBART DAM RD
MARION, MT
ZIP 59925-708
Phone: (406) 296-4272
Fax: (406) 854-2835

The enumeration date for this NPI number is 10/9/2020 and was last updated on 6/30/2021.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)BBH-LAC-LIC-30140MONTANAYes
2101YA0400XCounselorAddiction (Substance Use Disorder)11780420-6006UTAHNo

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: 3/30/2025

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