Healthcare Provider Details

I. General information

NPI: 1477416816
Provider Name (Legal Business Name): BRENNAH BELL SWLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
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

PO BOX 4734
BOZEMAN MT
59772-4734
US

V. Phone/Fax

Practice location:
  • Phone: 406-595-3746
  • Fax: 406-578-1363
Mailing address:
  • Phone: 406-595-3746
  • Fax: 406-578-1363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: