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 is a Clinical Social Worker 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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