Healthcare Provider Details

I. General information

NPI: 1992958714
Provider Name (Legal Business Name): SOUND VIEW COUNSELING & ASSOC.PS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2008
Last Update Date: 10/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W SPRUCE ST
MISSOULA MT
59802-4107
US

IV. Provider business mailing address

301 W SPRUCE ST
MISSOULA MT
59802-4107
US

V. Phone/Fax

Practice location:
  • Phone: 406-541-4436
  • Fax:
Mailing address:
  • Phone: 406-541-4436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number29998
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9525
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number29998
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number29998
License Number StateMT
# 5
Primary TaxonomyN
Taxonomy Code364SP0810X
TaxonomyChild & Family Psychiatric/Mental Health Clinical Nurse Specialist
License Number29998
License Number StateMT
# 6
Primary TaxonomyN
Taxonomy Code364SP0811X
TaxonomyChronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
License Number29998
License Number StateMT
# 7
Primary TaxonomyN
Taxonomy Code364SP0812X
TaxonomyCommunity Psychiatric/Mental Health Clinical Nurse Specialist
License Number29998
License Number StateMT
# 8
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9525
License Number StateMT

VIII. Authorized Official

Name: DR. DESSYE-DEE M. CLARK
Title or Position: PRESIDENT
Credential: PHD, APRN
Phone: 406-541-4436