Provider Demographics
NPI:1790285062
Name:BELGARDE, FRANK LOUIS JR (BA, AA, LAC)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:LOUIS
Last Name:BELGARDE
Suffix:JR
Gender:M
Credentials:BA, AA, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4802
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-4802
Mailing Address - Country:US
Mailing Address - Phone:406-909-4053
Mailing Address - Fax:406-302-5022
Practice Address - Street 1:25 S EWING ST STE 408
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-6072
Practice Address - Country:US
Practice Address - Phone:406-909-4053
Practice Address - Fax:406-302-5022
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LAC-LIC-38101101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT77753083Medicaid