MEDICARE: KYLIE MARIE BECKER 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	78550	MT

General Provider Information

NPI Number	:	1871195065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLIE MARIE BECKER LCPC

Provider Business Mailing Address
First Line	:	2231 DALLAS DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-5725
Country	:	US
Telephone Number	:	406-698-1173
Fax Number	:

Provider Business Practice Location Address
First Line	:	944 AVENUE B
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-3346
Country	:	US
Telephone Number	:	406-698-1173
Fax Number	:

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

Provider Enumeration Date	:	11/12/2020
Last Update Date	:	12/02/2025

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