MEDICARE: MS. BLANCHE NICOLE SUMNER MS, LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	55464	MT
2	101YM0800X	Mental Health Counselor		OK

General Provider Information

NPI Number	:	1104342880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BLANCHE NICOLE SUMNER MS, LCPC

Provider Business Mailing Address
First Line	:	2755 COLONIAL DR
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-4926
Country	:	US
Telephone Number	:	406-444-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2755 COLONIAL DR
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-4926
Country	:	US
Telephone Number	:	406-444-7500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2017
Last Update Date	:	05/11/2026

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