Healthcare Provider Details

I. General information

NPI: 1063340289
Provider Name (Legal Business Name): THRIVE AND GROW SPEECH THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 S IDAHO STREET
DILLON MT
59725-0527
US

IV. Provider business mailing address

PO BOX 527
DILLON MT
59725-0527
US

V. Phone/Fax

Practice location:
  • Phone: 406-686-1011
  • Fax:
Mailing address:
  • Phone: 406-686-1011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DEBBIE GILLENTINE
Title or Position: SPEECH PATHOLOGIST
Credential: M.S., CCC-SLP
Phone: 406-686-1011