Healthcare Provider Details

I. General information

NPI: 1811874084
Provider Name (Legal Business Name): BLACKFEET TRIBAL BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 STARR SCHOOL RD
BROWNING MT
59417-5460
US

IV. Provider business mailing address

PO BOX 866
BROWNING MT
59417-0866
US

V. Phone/Fax

Practice location:
  • Phone: 406-338-6120
  • Fax:
Mailing address:
  • Phone: 406-338-6120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TERRANCE J LAFROMBOISE
Title or Position: MENTAL HEALTH THERAPIST
Credential: SWLC
Phone: 406-338-2160