Healthcare Provider Details

I. General information

NPI: 1770407223
Provider Name (Legal Business Name): MARSI CAMILLE SALMI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 E MAIN ST
BOZEMAN MT
59715-4977
US

IV. Provider business mailing address

16813 W HILTON AVE
GOODYEAR AZ
85338-7405
US

V. Phone/Fax

Practice location:
  • Phone: 986-206-0414
  • Fax: 406-794-0352
Mailing address:
  • Phone: 986-206-0414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License NumberLPC1582
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLPC1582
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC1582
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: