Healthcare Provider Details

I. General information

NPI: 1427767037
Provider Name (Legal Business Name): DYNAMIC RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 2ND AVE N STE 300W
GREAT FALLS MT
59401-3243
US

IV. Provider business mailing address

1601 2ND AVE N STE 516
GREAT FALLS MT
59401-3289
US

V. Phone/Fax

Practice location:
  • Phone: 406-315-2028
  • Fax:
Mailing address:
  • Phone: 406-285-1007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MEGAN FARMER
Title or Position: EXECUTIVE DIRECTOR
Credential: LCPC, ACLC, LMHC
Phone: 406-285-1007