Provider Demographics
NPI:1770525115
Name:BUCY, MENDY (LCSW)
Entity type:Individual
Prefix:
First Name:MENDY
Middle Name:
Last Name:BUCY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1622 SOUTH AVE W
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-7804
Mailing Address - Country:US
Mailing Address - Phone:406-543-9700
Mailing Address - Fax:406-549-8109
Practice Address - Street 1:1622 SOUTH AVE W
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-7804
Practice Address - Country:US
Practice Address - Phone:406-543-9700
Practice Address - Fax:406-549-8109
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT642LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical