Healthcare Provider Details

I. General information

NPI: 1265133292
Provider Name (Legal Business Name): TURNWELL MENTAL HEALTH OF MONTANA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 GRAND AVE STE 6
BILLINGS MT
59102-6258
US

IV. Provider business mailing address

3737 GRAND AVE
BILLINGS MT
59102-6258
US

V. Phone/Fax

Practice location:
  • Phone: 406-839-2985
  • Fax: 406-839-2986
Mailing address:
  • Phone: 406-839-2985
  • Fax: 406-839-2986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KAITLIN STAEBLER
Title or Position: PRACTICE OPERATIONS ADMINISTRATOR
Credential: PA
Phone: 406-839-2985