Provider Demographics
NPI:1609390509
Name:ROCKY MOUNTAIN COUNSELING AND MENTAL HEALTH
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN COUNSELING AND MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWMAN-NOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-763-1183
Mailing Address - Street 1:280 W KAGY BLVD STE D328
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-6056
Mailing Address - Country:US
Mailing Address - Phone:406-599-0183
Mailing Address - Fax:
Practice Address - Street 1:333 HAGGERTY LN STE 13
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-1780
Practice Address - Country:US
Practice Address - Phone:406-763-1183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty