MEDICARE: MRS. ALEECE PAIGE GIPE LCSW, LAC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	1003	MT
2	1041C0700X	Clinical Social Worker	717	MT

General Provider Information

NPI Number	:	1780691691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEECE PAIGE GIPE LCSW, LAC

Provider Business Mailing Address
First Line	:	600 CENTRAL AVE STE 324
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3141
Country	:	US
Telephone Number	:	406-781-7317
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 CENTRAL AVE STE 324
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3141
Country	:	US
Telephone Number	:	406-781-7317
Fax Number	:

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	09/18/2024

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