Organization
THE MERIDIAN THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE FULLETON LCSW (PARTIAL OWNER/PSYCHOTHERAPIST)
(406) 209-4928
Entity
Organization
Contact information
Practice address
113 E OAK ST STE OFFICE7, BOZEMAN, MT 59715-2970
(406) 209-4928
Mailing address
PO BOX 10542, BOZEMAN, MT 59719-0542
(406) 209-4928
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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