Healthcare Provider Details

I. General information

NPI: 1427978097
Provider Name (Legal Business Name): ASPEN DODGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CENTRAL AVE
GREAT FALLS MT
59401-3179
US

IV. Provider business mailing address

600 CENTRAL AVE STE 201
GREAT FALLS MT
59401-3141
US

V. Phone/Fax

Practice location:
  • Phone: 406-952-3772
  • Fax:
Mailing address:
  • Phone: 406-952-3772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: