Healthcare Provider Details

I. General information

NPI: 1992223200
Provider Name (Legal Business Name): JAMES E DEMPSEY LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 11/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 LESLIE AVE
HELENA MT
59601
US

IV. Provider business mailing address

1201 LESLIE AVE
HELENA MT
59601
US

V. Phone/Fax

Practice location:
  • Phone: 406-560-7185
  • Fax:
Mailing address:
  • Phone: 406-560-7185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberBBH-LAC-LIC-25570
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberBBH-LAC-LIC-24470
License Number StateMT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: