Provider Demographics
NPI:1043996622
Name:ALIDA TROXELL THERAPY PLLC
Entity Type:Organization
Organization Name:ALIDA TROXELL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:ALIDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOREN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-366-6109
Mailing Address - Street 1:PO BOX 8556
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59904-1556
Mailing Address - Country:US
Mailing Address - Phone:406-366-6109
Mailing Address - Fax:
Practice Address - Street 1:108 W RESERVE DR
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2118
Practice Address - Country:US
Practice Address - Phone:406-366-6109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty