Healthcare Provider Details

I. General information

NPI: 1184551269
Provider Name (Legal Business Name): EVALYNA LITTLEYOUNGMAN-BAKER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EVALYNA BAKER LMFT

II. Dates (important events)

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

III. Provider practice location address

1219 CENTRAL AVE
GREAT FALLS MT
59401-3777
US

IV. Provider business mailing address

1121 24TH AVE SW
GREAT FALLS MT
59404-3440
US

V. Phone/Fax

Practice location:
  • Phone: 406-866-0350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-MFLC-LIC-88458
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: