# BLACKWELL BEHAVIORAL HEALTH

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

## Provider details

- **NPI number:** 1104326974
- **Authorized official:** KAYLEE BLACKWELL LAC (DIRECTOR)
- **Authorized official phone:** (406) 201-6501

## Contact information

- **Practice address:** 800 KENSINGTON AVE, MISSOULA, MT 59801-5674
- **Practice address phone:** (406) 201-6501
- **Mailing address:** 5360 SECOND ST, FLORENCE, MT 59833-6534
- **Mailing address phone:** (406) 201-6501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2018
- **Last updated:** 03/17/2018