# FAWKES THERAPEUTIC SERVICES

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

## Provider details

- **NPI number:** 1366305179
- **Authorized official:** BRIDGETTE ROWE LCSW, LAC (OWNER)
- **Authorized official phone:** (406) 540-3542

## Contact information

- **Practice address:** 415 N HIGGINS AVE STE 19, MISSOULA, MT 59802-4560
- **Practice address phone:** (406) 540-3542
- **Mailing address:** 415 N HIGGINS AVE STE 19, MISSOULA, MT 59802-4560
- **Mailing address phone:** (406) 540-3542

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2025
- **Last updated:** 12/08/2025