Healthcare Provider Details

I. General information

NPI: 1528364965
Provider Name (Legal Business Name): PRAXIS PAIN SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2011
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 HIGHLAND BLVD STE 4500
BOZEMAN MT
59715-6903
US

IV. Provider business mailing address

4442 ALEXANDER ST
BOZEMAN MT
59718-1956
US

V. Phone/Fax

Practice location:
  • Phone: 406-600-5606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number870
License Number StateMT

VIII. Authorized Official

Name: ASHLEY OLSEN
Title or Position: PRESIDENT
Credential: MSW, LCSW
Phone: 406-600-5606