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General NPI Number Information
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NPI Number | 1265389795
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Entity Type | Individual
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Provider Name | MICHAEL JAMES MCNEIL
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Gender | Male
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 2135 CHARLOTTE ST STE 2
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City | BOZEMAN
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State | MT
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Zip | 59718-2741
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Country | US
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Telephone | 406-600-5606
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Fax |
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Provider Business Mailing Address
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Address Line | 9 HALO DR
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City | BOZEMAN
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State | MT
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Zip | 59718-8650
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Country | US
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Telephone | 605-920-9957
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BBH-LCPC-LIC-87921
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License Number State | MT
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