Healthcare Provider Details

I. General information

NPI: 1497631832
Provider Name (Legal Business Name): MR. XAVIER OLDCHIEF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 POPIMI ST
BROWNING MT
59417-5315
US

IV. Provider business mailing address

PO BOX 2224
BROWNING MT
59417-2224
US

V. Phone/Fax

Practice location:
  • Phone: 406-338-7912
  • Fax:
Mailing address:
  • Phone: 406-845-6606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberBBH-ACL-LIC-50588
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-SWLC-LIC-49499
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: