Healthcare Provider Details

I. General information

NPI: 1326818014
Provider Name (Legal Business Name): RACHEL BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 W STEVENS ST STE 202
BOZEMAN MT
59718-7043
US

IV. Provider business mailing address

1924 W STEVENS ST STE 202
BOZEMAN MT
59718-7043
US

V. Phone/Fax

Practice location:
  • Phone: 406-595-3746
  • Fax:
Mailing address:
  • Phone: 406-595-3746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-SWLC-LIC-68470
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-SWLC-LIC-68470
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: