Provider Demographics
NPI:1154102275
Name:J. OLIVIA DRUMM, LLC
Entity type:Organization
Organization Name:J. OLIVIA DRUMM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCPC
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:OLIVIA
Authorized Official - Last Name:DRUMM
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:505-592-2656
Mailing Address - Street 1:2047 N LAST CHANCE GULCH # 447
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-0744
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:825 GREAT NORTHERN BLVD STE 325
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3340
Practice Address - Country:US
Practice Address - Phone:505-592-2656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1659792034OtherNPI NPPES