Healthcare Provider Details

I. General information

NPI: 1881530764
Provider Name (Legal Business Name): PEACEFUL ROOTS THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 E 2ND ST STE 101
WHITEFISH MT
59937-2402
US

IV. Provider business mailing address

PO BOX 24
WHITEFISH MT
59937-0024
US

V. Phone/Fax

Practice location:
  • Phone: 406-290-9034
  • Fax:
Mailing address:
  • Phone: 406-290-9034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERIN MURRAY
Title or Position: THERAPIST
Credential: LCPC
Phone: 406-290-9034