Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Mental Health PLLC

Organization Clinical Social Worker · NPI 1194291609

Providence Mental Health PLLC provides Clinical Social Worker services in Bozeman, Montana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2246 Boot Hill Ct Unit #4
Bozeman, MT 59715
Phone: (406) 579-4984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1194291609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Maxwell — Clinical Director, Clinician · (406) 579-4984
NPI enumeratedOctober 23, 2018
Last updated in NPPESOctober 23, 2018
Mailing address2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715

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