Healthcare Provider Details

I. General information

NPI: 1629296132
Provider Name (Legal Business Name): KATIE MARIE CARSTEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2007
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 N CRUSE AVE OFC 10
HELENA MT
59601-5003
US

IV. Provider business mailing address

317 N CRUSE AVE OFC 10
HELENA MT
59601-5003
US

V. Phone/Fax

Practice location:
  • Phone: 719-233-3819
  • Fax:
Mailing address:
  • Phone: 719-233-3819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-PCLC-LIC-81299
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: