Vandekop, Ellen
Vandekop, Ellen is an sole proprietor health care provider with primary practice located at 825 Great Northern Blvd Ste 326 , Helena MT 59601-3392. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Vandekop, Ellen can be contacted via phone (406) 850-6595.Contact Information
Primary practice address
825 Great Northern Blvd Ste 326
Helena MT 59601-3392
Phone: (406) 850-6595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | BBH-LCPC-LIC-55123 | Montana |
Profile Details
| NPI number | 1316691710 |
|---|---|
| LBN Legal business name | Vandekop, Ellen |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2022 |
| Last updated | May 18th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316691710 | NPPES |
| Montana | MEDICAID | 1316691710 | |
| Montana | Other | BBH-LCPC-LIC-55123 |
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