Healthcare Provider Details

I. General information

NPI: 1457941692
Provider Name (Legal Business Name): PAIGE MARIE THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2021
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 2ND AVE N STE 300W
GREAT FALLS MT
59401-3243
US

IV. Provider business mailing address

820 6TH AVE S
GREAT FALLS MT
59405-2117
US

V. Phone/Fax

Practice location:
  • Phone: 406-315-2028
  • Fax:
Mailing address:
  • Phone: 406-231-2946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCPC-LIC-57437
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberBBH-LAC-LIC-62582
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: