Provider Demographics
NPI:1558073874
Name:MONTANA PSYCHIATRY CONSULTATION LLC
Entity Type:Organization
Organization Name:MONTANA PSYCHIATRY CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORINA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:406-552-7799
Mailing Address - Street 1:500 MISSION VIEW DR
Mailing Address - Street 2:
Mailing Address - City:POLSON
Mailing Address - State:MT
Mailing Address - Zip Code:59860-4139
Mailing Address - Country:US
Mailing Address - Phone:406-552-7799
Mailing Address - Fax:
Practice Address - Street 1:500 MISSION VIEW DR
Practice Address - Street 2:
Practice Address - City:POLSON
Practice Address - State:MT
Practice Address - Zip Code:59860-4139
Practice Address - Country:US
Practice Address - Phone:406-552-7799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)