Provider Demographics
NPI:1144719600
Name:SCHOLL, GEOFFREY (MA)
Entity type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:
Last Name:SCHOLL
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1053
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-1053
Mailing Address - Country:US
Mailing Address - Phone:406-201-5262
Mailing Address - Fax:
Practice Address - Street 1:601 NIKLES DR STE 2E
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2588
Practice Address - Country:US
Practice Address - Phone:406-201-5262
Practice Address - Fax:406-351-4623
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR21-08-10214101YA0400X
ORC6315101YM0800X
OR101YM0800X, 171M00000X
MTBBH-LCPC-LIC-50542101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator