Healthcare Provider Details

I. General information

NPI: 1528309101
Provider Name (Legal Business Name): NICOLE LANGMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 02/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 ROSEBUD DR STE 7-8
BILLINGS MT
59102-6294
US

IV. Provider business mailing address

2040 ROSEBUD DR STE 7-8
BILLINGS MT
59102-6294
US

V. Phone/Fax

Practice location:
  • Phone: 406-969-4812
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberBBH-LCPC-LIC-29805
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: