# THE MERIDIAN THERAPY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598684433
- **Authorized official:** MACKENZIE FULLETON LCSW (PARTIAL OWNER/PSYCHOTHERAPIST)
- **Authorized official phone:** (406) 209-4928

## Contact information

- **Practice address:** 113 E OAK ST STE OFFICE7, BOZEMAN, MT 59715-2970
- **Practice address phone:** (406) 209-4928
- **Mailing address:** PO BOX 10542, BOZEMAN, MT 59719-0542
- **Mailing address phone:** (406) 209-4928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2026
- **Last updated:** 07/14/2026