Healthcare Provider Details

I. General information

NPI: 1295691970
Provider Name (Legal Business Name): SKYLINE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2025
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3039 LORI LN
BOZEMAN MT
59718-2211
US

IV. Provider business mailing address

3039 LORI LN
BOZEMAN MT
59718-2211
US

V. Phone/Fax

Practice location:
  • Phone: 208-577-8430
  • Fax:
Mailing address:
  • Phone: 208-577-8430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA NICOLE BENZING
Title or Position: OWNER/ LEAD THERAPIST
Credential: PCLC
Phone: 208-577-8430