Organization
NORTH MOUNTAIN WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT CARPENTER LCSW (OWNER)
(406) 794-4190
Entity
Organization
Contact information
Practice address
1500 POLY DR, BILLINGS, MT 59102-1748
(406) 794-4190
Mailing address
4409 PINE COVE RD, BILLINGS, MT 59106-1334
(406) 794-4190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
BBH-LCSW-LIC-18808
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-7367
MT
Other
Enumeration date
07/28/2017
Last updated
11/22/2017
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