Healthcare Provider Details

I. General information

NPI: 1568308286
Provider Name (Legal Business Name): GRATEFUL INSIGHT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N. HIGGINS AVE. SUITE 4
MISSOULA MT
59802-4563
US

IV. Provider business mailing address

415 N. HIGGINS AVE. SUITE 4
MISSOULA MT
59802-4563
US

V. Phone/Fax

Practice location:
  • Phone: 406-210-8239
  • Fax:
Mailing address:
  • Phone: 406-210-8239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHATELLE M MAIN
Title or Position: OWNER/MANAGER
Credential: CBHPSS
Phone: 406-210-8239