Healthcare Provider Details

I. General information

NPI: 1205791084
Provider Name (Legal Business Name): NORTH FORK MENTAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 W 2ND ST STE 6
WHITEFISH MT
59937-3035
US

IV. Provider business mailing address

14 W 2ND ST STE 6
WHITEFISH MT
59937-3035
US

V. Phone/Fax

Practice location:
  • Phone: 406-290-9320
  • Fax:
Mailing address:
  • Phone: 406-290-9320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH HUNTER
Title or Position: MENTAL HEALTH COUNSELOR
Credential:
Phone: 406-290-9320