Healthcare Provider Details

I. General information

NPI: 1003086950
Provider Name (Legal Business Name): BLUE DIAMOND PSYCHIATRIC SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 N LAST CHANCE GULCH SUITE G
HELENA MT
59601-5014
US

IV. Provider business mailing address

PO BOX 1685
HELENA MT
59624-1685
US

V. Phone/Fax

Practice location:
  • Phone: 406-438-6958
  • Fax: 406-422-5624
Mailing address:
  • Phone: 406-438-6958
  • Fax: 406-422-5624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number47511
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberAPN39336
License Number StateMT

VIII. Authorized Official

Name: MS. MONICA GRABRIAN
Title or Position: PRESIDENT
Credential: MS, APRN, PMHCNS-BC
Phone: 406-438-6958