Healthcare Provider Details

I. General information

NPI: 1740162809
Provider Name (Legal Business Name): WOVEN COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/27/2025
Certification Date: 07/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

292 W HALEY SPRINGS RD STE 3
BOZEMAN MT
59718-4226
US

IV. Provider business mailing address

292 W HALEY SPRINGS RD STE 3
BOZEMAN MT
59718-4226
US

V. Phone/Fax

Practice location:
  • Phone: 907-903-4476
  • Fax:
Mailing address:
  • Phone: 907-903-4476
  • 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: AMEIA ELIZABETH HENNESSY
Title or Position: OWNER
Credential:
Phone: 907-903-4476