Healthcare Provider Details

I. General information

NPI: 1578951307
Provider Name (Legal Business Name): BIG SKY PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2015
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2735 COLONIAL DR STE A
HELENA MT
59601-4971
US

IV. Provider business mailing address

2735 COLONIAL DR STE A
HELENA MT
59601-4971
US

V. Phone/Fax

Practice location:
  • Phone: 406-204-2151
  • Fax: 406-204-2154
Mailing address:
  • Phone: 406-204-2151
  • Fax: 406-204-2154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMED-PHYS-LIC-10752
License Number StateMT

VIII. Authorized Official

Name: DR. KRISTA DAVID
Title or Position: MEMBER
Credential: M.D.
Phone: 406-204-2151