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

Dba Phc Russell Elementary

Organization Mental Health Counselor · NPI 1215769906

Dba Phc Russell Elementary is a Mental Health Counselor in Missoula, Montana. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

3216 S Russell St
Missoula, MT 59801-8537
Phone: (406) 370-0487
Fax: (406) 258-4732
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 Railroad St W, Missoula, MT 59802-4178 — (406) 258-4789

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X

Record details

NPI number1215769906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lara Salazar — Billing Manager · (406) 258-3360
Other names Phc Russell Elementary; Phc Russell Elementary
NPI enumeratedAugust 20, 2024
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing address401 Railroad St W, Missoula, MT 59802-4178

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