Healthcare Provider Details

I. General information

NPI: 1538955398
Provider Name (Legal Business Name): MEGAN ASSENMACHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 FLUORITE DR
LEWISTOWN MT
59457-3223
US

IV. Provider business mailing address

211 FLUORITE DR
LEWISTOWN MT
59457-3223
US

V. Phone/Fax

Practice location:
  • Phone: 406-409-8692
  • Fax:
Mailing address:
  • Phone: 406-409-8692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberBBH-LCPC-LIC-84214
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: