Healthcare Provider Details

I. General information

NPI: 1700338928
Provider Name (Legal Business Name): MONICA GLUECKERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2016
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 W 6TH AVE STE 3
HELENA MT
59601-5072
US

IV. Provider business mailing address

PO BOX 1956
HELENA MT
59624-1956
US

V. Phone/Fax

Practice location:
  • Phone: 406-459-7852
  • Fax:
Mailing address:
  • Phone: 406-459-7852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCPC-LIC-27105
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: