| Angie Buckley Lcpc | |
|
902 Wyoming Ave Billings MT 59101-1637 | |
| (406) 672-9998 | |
| Not Available |
| Full Name | Angie Buckley Lcpc |
|---|---|
| Speciality | Counselor |
| Location | 902 Wyoming Ave, Billings, Montana |
| Authorized Official Name and Position | Angela Buckley (OWNER) |
| Authorized Official Contact | 4066729998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angie Buckley Lcpc 821 N 27th St # 311 Billings MT 59101-1121 Ph: (406) 672-9998 | Angie Buckley Lcpc 902 Wyoming Ave Billings MT 59101-1637 Ph: (406) 672-9998 |
| NPI Number | 1467223537 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 3274977830 |
|---|---|
| Medicare Enrollment ID | O20240222000992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467223537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Angela D Buckley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679997597 PECOS PAC ID: 8729421144 Enrollment ID: I20240411001178 |
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