Provider Demographics
NPI:1659838167
Name:HELENA METTA THERAPY, LLC
Entity Type:Organization
Organization Name:HELENA METTA THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARCOUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-461-2264
Mailing Address - Street 1:2725 COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-0243
Mailing Address - Country:US
Mailing Address - Phone:406-461-2264
Mailing Address - Fax:
Practice Address - Street 1:3117 COONEY DR STE 101
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-0229
Practice Address - Country:US
Practice Address - Phone:406-461-2264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health