Healthcare Provider Details

I. General information

NPI: 1770434599
Provider Name (Legal Business Name): TAYLOR BRIGGS LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 N 29TH ST
BILLINGS MT
59101-0147
US

IV. Provider business mailing address

1631 VUECREST DR
BILLINGS MT
59101-0400
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-3175
  • Fax:
Mailing address:
  • Phone: 406-876-2393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-SWLC-LIC-88623
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberBBH-LAC-LIC-87816
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: