Healthcare Provider Details

I. General information

NPI: 1821208208
Provider Name (Legal Business Name): MICHAEL JAMES GEBOE LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/02/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROCKY BOY HEALTH CENTER 6850 UPPER BOX ELDER RD
BOX ELDER MT
59521-9797
US

IV. Provider business mailing address

146 ELSIES CIR
BOX ELDER MT
59521-8899
US

V. Phone/Fax

Practice location:
  • Phone: 406-395-4486
  • Fax:
Mailing address:
  • Phone: 406-390-4749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberBBH-LAC-LIC-1082
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberBBH-BHPS-CRT-78947
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: