Healthcare Provider Details

I. General information

NPI: 1982922423
Provider Name (Legal Business Name): PERCEPTIONS COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 05/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 S 20TH AVE SUITE 201
BOZEMAN MT
59718-6824
US

IV. Provider business mailing address

716 S 20TH AVE SUITE 201
BOZEMAN MT
59718-6824
US

V. Phone/Fax

Practice location:
  • Phone: 406-522-0511
  • Fax:
Mailing address:
  • Phone: 406-588-0511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number633
License Number StateMT

VIII. Authorized Official

Name: MRS. PAULA J MILLS
Title or Position: COUNSELOR
Credential: MC,LCPC
Phone: 406-522-0511