# BRIDGETT BEAL, LCSW, LLC

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

## Provider details

- **NPI number:** 1720845902
- **Authorized official:** MS. BRIDGETT BEAL LCSW (OWNTER/THERAPIST)
- **Authorized official phone:** (406) 552-0945

## Contact information

- **Practice address:** 10305 VALLEY GROVE DR, LOLO, MT 59847-8604
- **Practice address phone:** (406) 552-0945
- **Mailing address:** PO BOX 9322, MISSOULA, MT 59807-9322

## Taxonomy

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

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 03/04/2024