=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609790955
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LIFE'S JOURNEY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2026
-----------------------------------------------------
Last Update Date | 08/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 274 OLD CORVALLIS RD STE W
-----------------------------------------------------
City | HAMILTON
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59840-3213
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-369-8907
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 274 OLD CORVALLIS RD STE W
-----------------------------------------------------
City | HAMILTON
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59840-3213
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-369-8907
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST/COUNCELOR
-----------------------------------------------------
Name | ALICE F MAINWARING
-----------------------------------------------------
Credential | SWLC/LAC
-----------------------------------------------------
Telephone | 406-369-8907
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------