Healthcare Provider Details

I. General information

NPI: 1710834247
Provider Name (Legal Business Name): HEALING HAVEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 S IDAHO ST
DILLON MT
59725-2524
US

IV. Provider business mailing address

330 S IDAHO ST
DILLON MT
59725-2524
US

V. Phone/Fax

Practice location:
  • Phone: 406-596-4648
  • Fax: 406-683-9700
Mailing address:
  • Phone: 406-596-4648
  • Fax: 406-683-9700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: TAMMY MARIE BELICE
Title or Position: LCPC
Credential:
Phone: 406-596-4648