Provider Demographics
NPI:1730844663
Name:ANNETTE J BACHELLER LCSW ACSW PLLC
Entity type:Organization
Organization Name:ANNETTE J BACHELLER LCSW ACSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BACHELLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, ACSW
Authorized Official - Phone:406-245-9889
Mailing Address - Street 1:1643 LEWIS AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4151
Mailing Address - Country:US
Mailing Address - Phone:406-245-9889
Mailing Address - Fax:406-245-0654
Practice Address - Street 1:1643 LEWIS AVE STE 3
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4151
Practice Address - Country:US
Practice Address - Phone:406-245-9889
Practice Address - Fax:406-245-0654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty