Healthcare Provider Details

I. General information

NPI: 1811513757
Provider Name (Legal Business Name): ROSEMARY CLAUSE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 E MAIN ST STE 401
BOZEMAN MT
59715-5045
US

IV. Provider business mailing address

12543 FORAGER PL
MIDLAND NC
28107-0140
US

V. Phone/Fax

Practice location:
  • Phone: 866-805-3691
  • Fax:
Mailing address:
  • Phone: 347-489-1246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number016464-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: