Healthcare Provider Details

I. General information

NPI: 1376248997
Provider Name (Legal Business Name): ALL IS WELL STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 BAXTER LN STE 111
BOZEMAN MT
59718-9998
US

IV. Provider business mailing address

972 FLANDERS CREEK AVE
BOZEMAN MT
59718-6363
US

V. Phone/Fax

Practice location:
  • Phone: 406-581-0598
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HAGMAN
Title or Position: SUPERVISOR
Credential:
Phone: 406-581-0598