Healthcare Provider Details

I. General information

NPI: 1912611591
Provider Name (Legal Business Name): MOXY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 N 31ST ST STE 421
BILLINGS MT
59101-1211
US

IV. Provider business mailing address

6049 MOLLIE ROSE LN
BILLINGS MT
59101-6495
US

V. Phone/Fax

Practice location:
  • Phone: 406-272-7098
  • Fax:
Mailing address:
  • Phone: 320-583-5906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY NOVAKOVICH
Title or Position: OWNER
Credential: LCSW
Phone: 406-272-7098