MS. SHAUN L PHOENIX LCPC NPI 1982760625

NPI Information

NPI: 1982760625
Provider Name: MS. SHAUN L PHOENIX, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
17 S 5TH AVE
BOZEMAN, MT
ZIP 59715
Phone: (406) 580-0562
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MS. Shaun L Phoenix, LCPC is a mental health counselor in Bozeman, MT. MS. Shaun L Phoenix, LCPC NPI is 1982760625. 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:

17 S 5TH AVE
BOZEMAN, MT
ZIP 59715-443
Phone: (406) 580-0562

The enumeration date for this NPI number is 12/28/2006 and was last updated on 12/26/2012.

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	101YM0800X	Counselor	Mental Health	914	MONTANA	Yes

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	0000252518	MEDICAID	MONTANA
2	1982760625	MEDICAID	MONTANA

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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