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NPI Code Detail

MEDICARE: PCRS 360 DBA RURAL RESILIENCE

MEDICARE: PCRS 360 DBA RURAL RESILIENCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103K00000XBehavior Analyst
3104100000XSocial Worker
4175T00000XPeer Specialist
51041S0200XSchool Social Worker
6101YS0200XSchool Counselor
7171M00000XCase Manager/Care Coordinator
8101Y00000XCounselor

General Provider Information

NPI Number : 1821964792
Entity Type Code : Organization
Provider Name (Legal Business Name) : PCRS 360 DBA RURAL RESILIENCE
Provider Business Mailing Address
First Line : PO BOX 216
Second Line :
City : LIVINGSTON
State : MT
Zip : 59047-0216
Country : US
Telephone Number : 406-853-2474
Fax Number : 406-853-2474
Provider Business Practice Location Address
First Line : 103 1/2 S MAIN ST
Second Line :
City : LIVINGSTON
State : MT
Zip : 59047-2691
Country : US
Telephone Number : 406-853-2474
Fax Number : 406-853-2474
Authorized Official
Title or Position : CO-EXECUTIVE DIRECTOR
Name : JENNY MALLOY
Credential :
Telephone Number : 406-853-2474
Provider Enumeration Date : 10/16/2025
Last Update Date : 02/12/2026

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Directions to “PCRS 360 DBA RURAL RESILIENCE ” Practice Location

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