Hailey Breum, ACLC

Key facts

NPI

1740745587

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

License

BBH-ACLC-LIC-32990 (MT)

Practice address

521 4TH St
Havre, MT 59501-3649

Phone

(406) 395-4305

NPI assigned

Feb 6, 2019

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 6, 2019.

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1740745587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 4TH ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013649",
            "telephone_number": "406-879-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 4TH ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013649",
            "telephone_number": "406-395-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUM",
        "first_name": "HAILEY",
        "credential": "ACLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-ACLC-LIC-32990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

• Karen A. Boone, RN, MS, PMHCNS
• Thomas D Booth, D.O.
• Betty Boyce, PT
• Dorothy Y Bradbury, M.D.
• Cindy Lee Brandon, PHARM D
• Bridging Pathways LLC
• Bright Path Mental Health, PLLC
• Bullhook Community Health Center, Inc.
• Bullhook Community Health Center, Inc.
• C/P Counseling Services LLC

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