NPI 1073449351 · live from the CMS NPI Registry
Mark Archilla
Counselor, Professional in Bozeman, MT. National Provider Identifier 1073449351, active.
NPI record
| NPI | 1073449351 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 141 Discovery Dr Ste 109, Bozeman, MT 59718 |
| Practice phone | 406-595-3066 |
| Mailing address | 408 Enterprise Blvd Unit 11, Bozeman, MT 59718 |
| Enumerated | June 23, 2026 |
| Last updated | June 23, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | BBH-PCLC-LIC-89635 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.