Healthcare Provider Details

I. General information

NPI: 1407781537
Provider Name (Legal Business Name): FLATHEAD THERAPEUTIC ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 S MAIN ST
KALISPELL MT
59901-5674
US

IV. Provider business mailing address

PO BOX 2226
KALISPELL MT
59903-2226
US

V. Phone/Fax

Practice location:
  • Phone: 406-607-6339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HEIDI HOUSER
Title or Position: BOOKKEEPER
Credential:
Phone: 406-249-4292