MEDICARE: SIGNAL POINT COUNSELING, LLC

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

General Provider Information

NPI Number	:	1871296228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNAL POINT COUNSELING, LLC

Provider Business Mailing Address
First Line	:	2113 INTERLACHEN DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59105-3648
Country	:	US
Telephone Number	:	406-272-3616
Fax Number	:

Provider Business Practice Location Address
First Line	:	2113 INTERLACHEN DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59105-3648
Country	:	US
Telephone Number	:	406-272-3616
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	BRANDI BUCKLES
Credential	:	LCPC
Telephone Number	:	406-208-8005

Provider Enumeration Date	:	03/24/2023
Last Update Date	:	03/24/2023

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