Healthcare Provider Details

I. General information

NPI: 1780980011
Provider Name (Legal Business Name): THE CENTER FOR CHILDREN AND FAMILIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2011
Last Update Date: 02/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 14TH ST W SUITE 230
BILLINGS MT
59102-3150
US

IV. Provider business mailing address

1501 14TH ST W SUITE 230
BILLINGS MT
59102-3150
US

V. Phone/Fax

Practice location:
  • Phone: 406-294-5090
  • Fax: 406-294-9512
Mailing address:
  • Phone: 406-294-5090
  • Fax: 406-294-9512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number357
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number357
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number357
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number357
License Number StateMT
# 5
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number357
License Number StateMT
# 6
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number357
License Number StateMT
# 7
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number357
License Number StateMT
# 8
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number357
License Number StateMT
# 9
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number357
License Number StateMT
# 10
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number357
License Number StateMT
# 11
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number357
License Number StateMT

VIII. Authorized Official

Name: DR. BRENDA K ROCHE
Title or Position: DIRECTOR OF CLINICAL AND EVALUATION
Credential: PHD
Phone: 406-672-6201