Healthcare Provider Details

I. General information

NPI: 1477217420
Provider Name (Legal Business Name): GOOD FENCES COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 NIKLES DR STE 2E
BOZEMAN MT
59715-2588
US

IV. Provider business mailing address

PO BOX 1053
BELGRADE MT
59714-1053
US

V. Phone/Fax

Practice location:
  • Phone: 406-201-5262
  • Fax: 406-351-4623
Mailing address:
  • Phone: 406-201-5262
  • Fax: 406-351-4623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GEOFFREY SCHOLL
Title or Position: OWNER
Credential: LCPC
Phone: 406-201-5262