Healthcare Provider Details

I. General information

NPI: 1649358755
Provider Name (Legal Business Name): BECKY J. FROST LCPC, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 N 1ST ST W STE C
MISSOULA MT
59802-3661
US

IV. Provider business mailing address

PO BOX 7774
MISSOULA MT
59807-7774
US

V. Phone/Fax

Practice location:
  • Phone: 406-546-9455
  • Fax: 406-728-5178
Mailing address:
  • Phone: 406-546-9455
  • Fax: 406-728-5178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1188
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1188
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: