# ALEMBIC PSYCHOTHERAPY INCORPORATED

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

## Provider details

- **NPI number:** 1114293354
- **Authorized official:** MR. VICTOR STAMPLEY LCSW (PRESIDENT)
- **Authorized official phone:** (406) 728-4791

## Contact information

- **Practice address:** 725 W ALDER ST, STE. 28, MISSOULA, MT 59802-4026
- **Practice address phone:** (406) 728-4791
- **Practice address fax:** (406) 728-4791
- **Mailing address:** 3505 W FORK PETTY CREEK RD, ALBERTON, MT 59820-9313
- **Mailing address phone:** (406) 728-4791
- **Mailing address fax:** (406) 728-4791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 162LCSW | MT | Yes |

## Other

- **Enumeration date:** 03/30/2012
- **Last updated:** 06/15/2012