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MR. NATHANIEL A MOORE LAC
NPI 1518565803
Counselor - Addiction (Substance Use Disorder) in Marion, MT

Active since October 09, 2020
200 HUBBART DAM RD, MARION, MT 59925(406) 296-4272(406) 854-2835 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2021, Oct 9, 2020 (2 updates tracked since 2020).

About Mr. Nathaniel A Moore Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NATHANIEL A MOORE LAC (NPI 1518565803) is an individual addiction (substance use disorder) provider in Marion, Montana, licensed in Montana (BBH-LAC-LIC-30140) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1518565803
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. NATHANIEL A MOORECredential: LAC
Location Address200 HUBBART DAM RDMarion, MT 59925-9708
Mailing Address200 Hubbart Dam RdMarion, MT 59925-9708 · (406) 296-4272 · Fax (406) 854-2835
Phone(406) 296-4272
Fax(406) 854-2835
Sole ProprietorNo
Enumeration DateOctober 9, 2020
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
✔ NPI 1518565803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in MT · BBH-LAC-LIC-30140✔ Licensed in UT · 11780420-6006
200 HUBBART DAM RD, Marion, MT 59925
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRIPLE DIVIDE LODGE LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
200 HUBBART DAM RD
MARION, MT 59925
Flathead County (406) 296-4272
WILDERNESS ALTERNATIVE SCHOOL, INC
Substance Abuse Rehabilitation Facility
200 HUBBART DAM RD
MARION, MT 59925
Flathead County (406) 854-2832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathaniel Moore's NPI number?

The NPI number for Nathaniel Moore is 1518565803. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Nathaniel Moore located?

Nathaniel Moore practices at 200 Hubbart Dam Rd, Marion, MT 59925. The listed phone number is (406) 296-4272.

What is Nathaniel Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nathaniel Moore was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.