Healthcare Provider Details

I. General information

NPI: 1174435911
Provider Name (Legal Business Name): RESILIENT ROOT COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 W 2ND ST STE 4
WHITEFISH MT
59937-3006
US

IV. Provider business mailing address

1057 3RD STREET WEST N
COLUMBIA FALLS MT
59912-4610
US

V. Phone/Fax

Practice location:
  • Phone: 406-219-7418
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ELLEN WIED
Title or Position: OWNER
Credential: LCPC
Phone: 406-291-5156