Healthcare Provider Details

I. General information

NPI: 1093672388
Provider Name (Legal Business Name): CATHERINE STEWART
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 BON ACCORD RD
DILLON MT
59725-9793
US

IV. Provider business mailing address

1140 BON ACCORD RD
DILLON MT
59725-9793
US

V. Phone/Fax

Practice location:
  • Phone: 406-853-1981
  • Fax:
Mailing address:
  • Phone: 406-853-1981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCPC-LIC-81132
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: