Healthcare Provider Details

I. General information

NPI: 1134624380
Provider Name (Legal Business Name): DAYSI BELLOTA ONSTAD LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAYSI MARIA BELLOTA LCPC

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 06/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

547 S 20TH ST W STE 5
BILLINGS MT
59102
US

IV. Provider business mailing address

PO BOX 80084
BILLINGS MT
59108-0084
US

V. Phone/Fax

Practice location:
  • Phone: 406-272-2606
  • Fax:
Mailing address:
  • Phone: 406-272-2606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCPC-LIC-29590
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number29590
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: