Healthcare Provider Details

I. General information

NPI: 1609702752
Provider Name (Legal Business Name): SHAYLYN RODRIGUEZ ACLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 N 26TH ST
BILLINGS MT
59101-2329
US

IV. Provider business mailing address

2536 HOWARD AVE
BILLINGS MT
59102-4625
US

V. Phone/Fax

Practice location:
  • Phone: 406-200-8072
  • Fax:
Mailing address:
  • Phone: 406-601-9055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: