Healthcare Provider Details

I. General information

NPI: 1982184834
Provider Name (Legal Business Name): TONYA YVETTE MAYE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2018
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CENTRAL AVE
GREAT FALLS MT
59401-3179
US

IV. Provider business mailing address

PO BOX 782
FAIRFIELD MT
59436-0782
US

V. Phone/Fax

Practice location:
  • Phone: 406-952-3772
  • Fax:
Mailing address:
  • Phone: 406-217-3188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-LCSW-LIC-81364
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberBBH-SWLC-LIC-32073
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: