Healthcare Provider Details

I. General information

NPI: 1871412205
Provider Name (Legal Business Name): COREL ANTHONY MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 S 44TH ST W APT 12207
BILLINGS MT
59106-3992
US

IV. Provider business mailing address

610 S 44TH ST W APT 12207
BILLINGS MT
59106-3992
US

V. Phone/Fax

Practice location:
  • Phone: 406-970-9051
  • Fax:
Mailing address:
  • Phone: 406-970-9051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-PCLC-LIC-88850
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: