Provider Demographics
NPI:1821334541
Name:BITELER, TINA (MSW)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:BITELER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:LENSING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 NAOMI ROSE LN
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-4590
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:626 S FERGUSON AVE STE 4
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6409
Practice Address - Country:US
Practice Address - Phone:406-952-9611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-28
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT726371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical