Healthcare Provider Details

I. General information

NPI: 1811803075
Provider Name (Legal Business Name): HAYLEY KUTZLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W HOLLY ST STE 4
SIDNEY MT
59270-3596
US

IV. Provider business mailing address

2508 WILSON ST
MILES CITY MT
59301-5000
US

V. Phone/Fax

Practice location:
  • Phone: 406-433-4635
  • Fax:
Mailing address:
  • Phone: 406-433-4635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number89606
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: