# NORTH SHORE THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023686797
- **Authorized official:** MALIA HALSTVEDT LCSW (PROVIDER)
- **Authorized official phone:** (406) 272-2440

## Contact information

- **Practice address:** 1220 AVENUE D STE F, BILLINGS, MT 59102-3242
- **Practice address phone:** (406) 272-2440
- **Mailing address:** 1220 AVENUE D STE F, BILLINGS, MT 59102-3242
- **Mailing address phone:** (406) 272-2440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2021
- **Last updated:** 06/17/2021
