Pamala Arlene Big Eagle, BBH-LAC-LIC 86850

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Poplar, MT

NPI 1558098640 · NPPES record last updated Aug 17, 2026

Key facts

NPI
1558098640
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
603 1/2 Court Ave
PO Box 1027
Poplar, MT 59255
Phone
(406) 768-3852
Fax
(406) 768-5202
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Associate of Applied Science

State licenses

LicenseStateTypeSpecialty
BBH-ACLC-50310MTMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BBH-ACLC-50310 MT
Addiction (Substance Use Disorder) Counselor 101YA0400X MT Yes

Addresses

Primary practice location

603 1/2 Court Ave
PO Box 1027
Poplar, MT 59255

Mailing address

PO Box 1027
Poplar, MT 59255
Phone (406) 768-3852

Other providers in Poplar, MT

All providers in Poplar, MT · Addiction (Substance Use Disorder) Counselor in Montana

Sources for this page

Verify at the official NPI Registry.