# PONDEROSA HEALING WATERS

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

## Provider details

- **NPI number:** 1366308140
- **Authorized official:** ANGELA CHRISTINE EVANS (LAC, SWLC, OWNER)
- **Authorized official phone:** (406) 880-7305

## Contact information

- **Practice address:** 109 1ST AVE, ST IGNATIUS, MT 59865-7748
- **Practice address phone:** (406) 880-7305
- **Mailing address:** PO BOX 548, RONAN, MT 59864-0548
- **Mailing address phone:** (406) 880-7305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/24/2025
- **Last updated:** 04/28/2026