# BELLATHIA PSYCHIATRY, LLC

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

## Provider details

- **NPI number:** 1821756404
- **Authorized official:** NICOLE MARIE FAESSEL APRN (CEO)
- **Authorized official phone:** (406) 201-5937

## Contact information

- **Practice address:** 355 CHASE WAY APT B, BOZEMAN, MT 59718-5473
- **Practice address phone:** (406) 201-5937
- **Practice address fax:** (888) 829-4791
- **Mailing address:** 355 CHASE WAY APT B, BOZEMAN, MT 59718-5473
- **Mailing address phone:** (406) 201-5937
- **Mailing address fax:** (888) 829-4791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 175T00000X | Peer Specialist | — | NULL | — |
| 175T00000X | Peer Specialist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP1700X | Perinatal Nurse Practitioner | — | NULL | — |
| 363LP1700X | Perinatal Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/01/2021
- **Last updated:** 04/24/2025