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 |