Healthcare Provider Details

I. General information

NPI: 1396660502
Provider Name (Legal Business Name): PINTLER CREEK COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 CEDAR ST
ANACONDA MT
59711-2308
US

IV. Provider business mailing address

321 FAIRVIEW ST S
ANACONDA MT
59711-2083
US

V. Phone/Fax

Practice location:
  • Phone: 406-560-6736
  • Fax:
Mailing address:
  • Phone: 406-560-6736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATIE LYNN MAES
Title or Position: LCPC
Credential: LCPC
Phone: 406-560-6736