Healthcare Provider Details

I. General information

NPI: 1710812284
Provider Name (Legal Business Name): RUNA COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 SPOKANE AVE STE 4
WHITEFISH MT
59937-2980
US

IV. Provider business mailing address

903 SPOKANE AVE STE 4
WHITEFISH MT
59937-2980
US

V. Phone/Fax

Practice location:
  • Phone: 406-407-3069
  • Fax: 833-930-3669
Mailing address:
  • Phone: 406-407-3069
  • Fax: 833-930-3669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: CRISTEN L VAUGHAN
Title or Position: FOUNDER
Credential: LAC
Phone: 406-407-3069