=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821964792
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PCRS 360 DBA RURAL RESILIENCE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/16/2025
-----------------------------------------------------
Last Update Date | 02/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 103 1/2 S MAIN ST
-----------------------------------------------------
City | LIVINGSTON
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59047-2691
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-853-2474
-----------------------------------------------------
Fax | 406-853-2474
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 216
-----------------------------------------------------
City | LIVINGSTON
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59047-0216
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-853-2474
-----------------------------------------------------
Fax | 406-853-2474
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | JENNY MALLOY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 406-853-2474
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 175T00000X
-----------------------------------------------------
Taxonomy Name | Peer Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
Taxonomy Code | 1041S0200X
-----------------------------------------------------
Taxonomy Name | School Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
Taxonomy Code | 101YS0200X
-----------------------------------------------------
Taxonomy Name | School Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------