Healthcare Provider Details

I. General information

NPI: 1609790955
Provider Name (Legal Business Name): LIFE'S JOURNEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 OLD CORVALLIS RD STE W
HAMILTON MT
59840-3213
US

IV. Provider business mailing address

274 OLD CORVALLIS RD STE W
HAMILTON MT
59840-3213
US

V. Phone/Fax

Practice location:
  • Phone: 406-369-8907
  • Fax:
Mailing address:
  • Phone: 406-369-8907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: ALICE F MAINWARING
Title or Position: THERAPIST/COUNCELOR
Credential: SWLC/LAC
Phone: 406-369-8907