Healthcare Provider Details

I. General information

NPI: 1265371884
Provider Name (Legal Business Name): SUSAN PICKENS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 POLY DR STE 203
BILLINGS MT
59102-1748
US

IV. Provider business mailing address

1500 POLY DR STE 203
BILLINGS MT
59102-1748
US

V. Phone/Fax

Practice location:
  • Phone: 406-698-8508
  • Fax:
Mailing address:
  • Phone: 406-698-8508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SUSAN PICKENS
Title or Position: COUNSELOR
Credential: LCPC
Phone: 406-698-8508