Healthcare Provider Details

I. General information

NPI: 1700403201
Provider Name (Legal Business Name): PAIJE E GIANARELLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PAIJE E CAHOON

II. Dates (important events)

Enumeration Date: 06/30/2020
Last Update Date: 03/12/2021
Certification Date: 03/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 PARK AVE
SHELBY MT
59474-1663
US

IV. Provider business mailing address

PO BOX 990
SHELBY MT
59474-0990
US

V. Phone/Fax

Practice location:
  • Phone: 406-434-3100
  • Fax: 406-434-3143
Mailing address:
  • Phone: 406-434-3100
  • Fax: 406-434-3143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number43839
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: