Healthcare Provider Details
I. General information
NPI: 1013826577
Provider Name (Legal Business Name): BRITTANY SWAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6850 UPPER BOX ELDER RD
BOX ELDER MT
59521-9073
US
IV. Provider business mailing address
6850 UPPER BOX ELDER RD
BOX ELDER MT
59521-9073
US
V. Phone/Fax
- Phone: 406-395-4486
- Fax:
- Phone: 406-395-4486
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | BBH-PCLC-LIC-90516 |
| License Number State | MT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: