# HUSTON PSYCHIATRIC SERVICES LLC

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

## Provider details

- **NPI number:** 1255992129
- **Authorized official:** SHAUNDRA STODDARD (BILLING SPECIALIST)
- **Authorized official phone:** (406) 925-0985

## Contact information

- **Practice address:** 1806 11TH AVE, HELENA, MT 59601-4768
- **Practice address phone:** (406) 531-0514
- **Mailing address:** 6 SIDEWINDER LOOP, CLANCY, MT 59634-9824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2019
- **Last updated:** 08/15/2019