Healthcare Provider Details

I. General information

NPI: 1982511655
Provider Name (Legal Business Name): MEGAN JOY GLATZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 E MAIN ST
EAST HELENA MT
59635-9062
US

IV. Provider business mailing address

PO BOX 1791
EAST HELENA MT
59635-1791
US

V. Phone/Fax

Practice location:
  • Phone: 406-475-2614
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-PCLC-LIC-90430
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: