Provider Demographics
| NPI: | 1356041602 |
|---|---|
| Name: | MOUNTAIN CURRENTS LLC |
| Entity type: | Organization |
| Organization Name: | MOUNTAIN CURRENTS LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | JAYME |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | HILL |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 406-763-6454 |
| Mailing Address - Street 1: | PO BOX 6022 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HELENA |
| Mailing Address - State: | MT |
| Mailing Address - Zip Code: | 59604-6022 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 406-763-6454 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 516 FULLER AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | HELENA |
| Practice Address - State: | MT |
| Practice Address - Zip Code: | 59601-3420 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 406-763-6454 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-03-06 |
| Last Update Date: | 2023-03-29 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | |
| Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |