Healthcare Provider Details

I. General information

NPI: 1922559053
Provider Name (Legal Business Name): WE CARE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2809 GREAT NORTHERN LOOP STE 300
MISSOULA MT
59808-1749
US

IV. Provider business mailing address

2809 GREAT NORTHERN LOOP STE 300
MISSOULA MT
59808-1749
US

V. Phone/Fax

Practice location:
  • Phone: 406-370-4473
  • Fax: 406-630-4002
Mailing address:
  • Phone: 406-370-4473
  • Fax: 406-630-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberC1021925-10400509
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateMT

VIII. Authorized Official

Name: MS. ALLEXENDRA I ST. CLAIR
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 406-546-2301