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Organization
SUNBURST HEALTH LLC
Active
Organization
SUNBURST HEALTH LLC
Active
Other names
Cedar Creek Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN STOW (CREDENTIALING MANAGER)
(406) 291-0321
Entity
Organization
Contact information
Practice address
2620 CONNERY WAY, MISSOULA, MT 59808-1325
(406) 203-9948
(406) 203-9949
Mailing address
2282 US HIGHWAY 93 S, KALISPELL, MT 59901-8499
(406) 890-2570
(406) 203-9949
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/30/2018
Last updated
11/19/2025
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