Provider Demographics
NPI:1811048226
Name:ARROWHEAD PSYCHOLOGICAL AND BEHAVIORAL SCIENCES, LLC
Entity type:Organization
Organization Name:ARROWHEAD PSYCHOLOGICAL AND BEHAVIORAL SCIENCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER AND NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:ROCHE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:406-294-9510
Mailing Address - Street 1:1501 14TH ST W
Mailing Address - Street 2:SUITE 230
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3150
Mailing Address - Country:US
Mailing Address - Phone:406-294-9510
Mailing Address - Fax:406-294-9512
Practice Address - Street 1:1501 14TH ST W
Practice Address - Street 2:SUITE 230
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3150
Practice Address - Country:US
Practice Address - Phone:406-294-9510
Practice Address - Fax:406-294-9512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1137101YA0400X
MT511101YP2500X
WY840101YP2500X
MT357103G00000X, 103TA0400X, 103TC0700X, 103TC2200X, 103TF0000X, 103T00000X, 103TP2701X
WY420103G00000X, 103TA0400X, 103TC0700X, 103TC2200X, 103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Single Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Single Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Not Answered103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty