Wellformed AI

NPI 1669773602 · live from the CMS NPI Registry

Lynella Mattox Ankelman, LCPC

Counselor, Professional in Butte, MT. National Provider Identifier 1669773602, active.

NPI record

NPI1669773602 Type 1 · individual
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location24 E Copper St, Butte, MT 59701
Practice phone406-723-7104
Mailing addressT-9 Fort Missoula, Missoula, MT 59804
EnumeratedNovember 8, 2010
Last updatedSeptember 29, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional primary101YP2500XBBH-LCPC-LIC-1511 (MT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.