Healthcare Provider Details

I. General information

NPI: 1063336840
Provider Name (Legal Business Name): MAGGIE GORDY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 E MAIN ST STE D
BOZEMAN MT
59715-4733
US

IV. Provider business mailing address

424 E MAIN ST STE D
BOZEMAN MT
59715-4733
US

V. Phone/Fax

Practice location:
  • Phone: 407-353-6799
  • Fax:
Mailing address:
  • Phone: 407-353-6799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARGARET GORDY
Title or Position: OWNER/MEMBER
Credential:
Phone: 407-353-6799