Healthcare Provider Details

I. General information

NPI: 1972417715
Provider Name (Legal Business Name): ELECTRIC PEAK HEALING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 HAGGERTY LN STE 275
BOZEMAN MT
59715-8805
US

IV. Provider business mailing address

205 HAGGERTY LN STE 275
BOZEMAN MT
59715-8805
US

V. Phone/Fax

Practice location:
  • Phone: 406-551-3270
  • Fax:
Mailing address:
  • Phone: 406-551-3270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SANDRA LYNN BIERLE
Title or Position: MANAGER/OWNER
Credential: LCPC
Phone: 406-551-3270