Healthcare Provider Details

I. General information

NPI: 1568384147
Provider Name (Legal Business Name): VICTORIA LIGIA-CLARICE PENNELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 9
BILLINGS MT
59103-0009
US

IV. Provider business mailing address

PO BOX 9
BILLINGS MT
59103-0009
US

V. Phone/Fax

Practice location:
  • Phone: 855-593-4357
  • Fax:
Mailing address:
  • Phone: 855-593-4357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: