Provider Demographics
NPI:1952468423
Name:BELEY, ROCHELLE ANN (MS)
Entity Type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:ANN
Last Name:BELEY
Suffix:
Gender:F
Credentials:MS
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 29
Mailing Address - Street 2:
Mailing Address - City:HARLOWTON
Mailing Address - State:MT
Mailing Address - Zip Code:59036-0029
Mailing Address - Country:US
Mailing Address - Phone:406-632-4517
Mailing Address - Fax:406-632-4899
Practice Address - Street 1:138 3RD ST NW
Practice Address - Street 2:
Practice Address - City:HARLOWTON
Practice Address - State:MT
Practice Address - Zip Code:59036-0029
Practice Address - Country:US
Practice Address - Phone:406-632-4517
Practice Address - Fax:406-632-4899
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT322LCP101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT74431OtherINSURANCE
MT0000250682Medicaid
MT0000250648Medicaid
MT0000251173Medicaid
MT0000250665Medicaid
MTLIC #322OtherINSURANCE
MT0000250631Medicaid