MEDICARE: PHOENIX MOUNTAIN COLLABORATIVE DBA EXPLORATIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	323P00000X	Psychiatric Residential Treatment Facility	PAP-PAP-LIC-21	MT

General Provider Information

NPI Number	:	1821444340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHOENIX MOUNTAIN COLLABORATIVE DBA EXPLORATIONS

Provider Business Mailing Address
First Line	:	119 S HILL RD
Second Line	:	P.O. BOX 1469
City	:	TROUT CREEK
State	:	MT
Zip	:	59874-9634
Country	:	US
Telephone Number	:	406-827-3863
Fax Number	:	406-827-4072

Provider Business Practice Location Address
First Line	:	119 S HILL RD
Second Line	:
City	:	TROUT CREEK
State	:	MT
Zip	:	59874-9634
Country	:	US
Telephone Number	:	406-827-3863
Fax Number	:	406-827-4072

Authorized Official
Title or Position	:	DIRECTOR & CO-FOUNDER
Name	:	PENELOPE JAMES
Credential	:
Telephone Number	:	406-827-3863

Provider Enumeration Date	:	05/13/2016
Last Update Date	:	12/04/2018

Similar Medicare Providers

1427184324 — MRS. WENDY KAY WILHITE RN, CNOR, RNFA
Practice Location Address:

24655 SE SWEETWATER LN
EAGLE CREEK, OR
97022-9634

Practice Phone: 503-637-4868
Practice Fax:

1447056791 — DR. EVELY JOANNY PACHECO MATIAS DC
Practice Location Address:

6406 CEDAR CREEK WAY
FARMINGTON, NY
14425-9634

Practice Phone: 939-262-2581
Practice Fax:

1396921334 — CHERI L LAMBRECHT LCPC
Practice Location Address:

70 BEAR TRACKS LN
TROUT CREEK, MT
59874-9620

Practice Phone: 406-827-4357
Practice Fax:

1962676031 — COUNTY OF SANDERS TROUT CREEK SCHOOL DISTRICT 6
Practice Location Address:

4 SCHOOL LN
TROUT CREEK, MT
59874-9671

Practice Phone: 406-827-3629
Practice Fax: 406-827-4185

1497023451 — MR. RYAN J. FRIELDS LAC
Practice Location Address:

396 BIG BEAVER CREEK RD
TROUT CREEK, MT
59874-9630

Practice Phone: 406-396-5346
Practice Fax:

1033453964 — LILIAN GEORGI L.M.T
Practice Location Address:

2981 HIGHWAY 200
TROUT CREEK, MT
59874-1283

Practice Phone: 406-827-3005
Practice Fax:

Directions to “PHOENIX MOUNTAIN COLLABORATIVE DBA EXPLORATIONS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.