Healthcare Provider Details

I. General information

NPI: 1003556358
Provider Name (Legal Business Name): CARLY HILLENBRAND APRN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E 7TH ST STE 3A
ANACONDA MT
59711-2913
US

IV. Provider business mailing address

520 SPRUCE ST
ANACONDA MT
59711-2851
US

V. Phone/Fax

Practice location:
  • Phone: 406-209-7777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CARLY JEAN HILLENBRAND
Title or Position: APRN, OWNER
Credential: APRN
Phone: 406-209-7777