MEDICARE: MILISA MOSSETT MA, LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1225418833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILISA MOSSETT MA, LCPC

Provider Business Mailing Address
First Line	:	PO BOX 13
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59103-0013
Country	:	US
Telephone Number	:	406-571-8394
Fax Number	:	406-213-1979

Provider Business Practice Location Address
First Line	:	2812 1ST AVE N STE 511
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-2312
Country	:	US
Telephone Number	:	406-571-8394
Fax Number	:	406-213-1979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	03/12/2025

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