Healthcare Provider Details

I. General information

NPI: 1912792540
Provider Name (Legal Business Name): MADISON BROWN COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 W MENDENHALL ST STE 3
BOZEMAN MT
59715-3400
US

IV. Provider business mailing address

618 N WILLSON AVE
BOZEMAN MT
59715-2847
US

V. Phone/Fax

Practice location:
  • Phone: 406-796-3426
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MADISON BROWN
Title or Position: OWNER
Credential: LCPC
Phone: 406-796-3426