Healthcare Provider Details

I. General information

NPI: 1235048356
Provider Name (Legal Business Name): LIGHTHOUSE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 S FRONTAGE RD W
ALBERTON MT
59820-9338
US

IV. Provider business mailing address

415 S FRONTAGE RD W
ALBERTON MT
59820-9338
US

V. Phone/Fax

Practice location:
  • Phone: 406-224-9381
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARIA GANTERT
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential:
Phone: 443-810-5808