Healthcare Provider Details

I. General information

NPI: 1386132926
Provider Name (Legal Business Name): RHEA KELLY SIMONSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2018
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

734 9TH ST W STE 2
COLUMBIA FALLS MT
59912-3858
US

IV. Provider business mailing address

PO BOX 212
COLUMBIA FALLS MT
59912-0212
US

V. Phone/Fax

Practice location:
  • Phone: 406-662-8331
  • Fax: 406-553-1748
Mailing address:
  • Phone: 406-662-8331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37099
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: