Healthcare Provider Details

I. General information

NPI: 1386582179
Provider Name (Legal Business Name): CRYSTAL SKIES COUNSELING, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 VILLAGE LN STE 102
BILLINGS MT
59102-2497
US

IV. Provider business mailing address

PO BOX 22792
BILLINGS MT
59104-2792
US

V. Phone/Fax

Practice location:
  • Phone: 406-855-9221
  • Fax: 406-206-7634
Mailing address:
  • Phone:
  • 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: AMY VICARS
Title or Position: MEMBER
Credential: LCPC, LAC, MAC
Phone: 406-855-9221