Provider Demographics
NPI:1376342212
Name:MILISA MOSSETT
Entity type:Organization
Organization Name:MILISA MOSSETT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MILISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSSETT
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-696-7367
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59103-0013
Mailing Address - Country:US
Mailing Address - Phone:406-571-8394
Mailing Address - Fax:406-213-1979
Practice Address - Street 1:2812 1ST AVE N STE 511
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2312
Practice Address - Country:US
Practice Address - Phone:406-571-8394
Practice Address - Fax:406-213-1979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty