Healthcare Provider Details

I. General information

NPI: 1700725942
Provider Name (Legal Business Name): KIRSTEN PETT LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1935 AVENUE B
BILLINGS MT
59102-2738
US

IV. Provider business mailing address

PO BOX 30052
BILLINGS MT
59107-0052
US

V. Phone/Fax

Practice location:
  • Phone: 406-530-4467
  • Fax:
Mailing address:
  • Phone: 406-530-4467
  • 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

VIII. Authorized Official

Name: KIRSTEN RH PETT
Title or Position: OWNER
Credential: LCSW
Phone: 406-530-4467