Provider Demographics
NPI:1922559053
Name:WE CARE BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:WE CARE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALLEXENDRA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ST. CLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-546-2301
Mailing Address - Street 1:2809 GREAT NORTHERN LOOP STE 300
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-1749
Mailing Address - Country:US
Mailing Address - Phone:406-370-4473
Mailing Address - Fax:406-630-4002
Practice Address - Street 1:2809 GREAT NORTHERN LOOP STE 300
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1749
Practice Address - Country:US
Practice Address - Phone:406-370-4473
Practice Address - Fax:406-630-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-24
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1041C0700X
251B00000X, 261Q00000X
MTC1021925-10400509261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1922559053OtherPACIFIC SOURCE HEALTH PLANS
MT1922559053OtherBLUE CROSS BLUE SHIELD OF MONTANA
MT1922559053OtherMONTANA AND MOUNTAIN HEALTH CO OP
MT1922559053Medicaid
MT1922559053OtherUBH
MT1922559053OtherAETNA
MT1922559053OtherHUMANA
MT1922559053OtherFIRST CHOICE HEALTH NETWORK