BROOK DIANE HODGE MS, CRC-CVE, PCLC
NPI 1871485953
Counselor - Mental Health in Missoula, MT

Active since July 15, 2025
4720 23RD AVE, MISSOULA, MT 59803(406) 541-4663 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brook Diane Hodge Ms, Crc-cve, Pclc NPPES

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

BROOK DIANE HODGE MS, CRC-CVE, PCLC (NPI 1871485953) is an individual mental health provider in Missoula, Montana, licensed in Montana (BBH-PCLC-LIC-74595) and active in the NPI registry since July 2025.Information from the official NPPES registry record, last updated July 15, 2025.

NPPES Registry Identity

NPI1871485953
Entity TypeIndividualFemale
Provider Legal NameBROOK DIANE HODGECredential: MS, CRC-CVE, PCLC
Location Address4720 23RD AVEMissoula, MT 59803-1137
Mailing Address4720 23rd AveMissoula, MT 59803-1137 · (406) 541-4663
Sole ProprietorNo
Enumeration DateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
NPI 1871485953 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Counselor · Mental Health

Taxonomy 101YM0800X · Behavioral Health & Social Service Providers

Licensed in MT · BBH-PCLC-LIC-74595
4720 23RD AVE, Missoula, MT 59803

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapy Assistant
4720 23RD AVE
MISSOULA, MT 59803
Pharmacy (Long Term Care Pharmacy)
4720 23RD AVE
MISSOULA, MT 59803
Skilled Nursing Facility
4720 23RD AVE
MISSOULA, MT 59803
Social Worker (Clinical)
4720 23RD AVE
MISSOULA, MT 59803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871485953, enumerated as an "individual" on July 15, 2025.

The provider is located at 4720 23RD AVE MISSOULA, MT 59803 and the phone number is (406) 541-4663.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.