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General NPI Number Information
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NPI Number | 1366282113
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Entity Type | Organization
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Legal Business Name | ONYX COUNSELING & CONSULTATION
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 19 4TH AVE SW STE 3
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City | CONRAD
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State | MT
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Zip | 59425-2339
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Country | US
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Telephone | 406-201-9414
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 10TH AVE S SUITE 4 PMB 109
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City | GREAT FALLS
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State | MT
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Zip | 59405-2680
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Country | US
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Telephone | 406-201-9414
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Fax |
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Authorized Official
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Title or Position | THERAPIST/ OWNER
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Name | LARA FOWLER
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Credential | LCSW
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Telephone | 406-201-9414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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