Healthcare Provider Details

I. General information

NPI: 1346144466
Provider Name (Legal Business Name): MARIA ELENA DUMONTIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 4TH AVE SW
RONAN MT
59864-2915
US

IV. Provider business mailing address

414 4TH AVE SW
RONAN MT
59864-2915
US

V. Phone/Fax

Practice location:
  • Phone: 406-608-8000
  • Fax:
Mailing address:
  • Phone: 406-608-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBHLCSWLIC90698
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: