Healthcare Provider Details

I. General information

NPI: 1104117035
Provider Name (Legal Business Name): KARA ANN BISENIUS LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARA ANN ALBERS

II. Dates (important events)

Enumeration Date: 04/26/2011
Last Update Date: 02/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 VALLEY DR
HELENA MT
59601-0163
US

IV. Provider business mailing address

3240 DREDGE DR
HELENA MT
59602-0548
US

V. Phone/Fax

Practice location:
  • Phone: 406-839-4551
  • Fax:
Mailing address:
  • Phone: 406-442-7920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: