# SYLVAN INTEGRATIVE CARE, LLC

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

## Provider details

- **NPI number:** 1417808965
- **Authorized official:** DR. MARK DONALD KISHBAUGH DMSC, PA-C (CEO)
- **Authorized official phone:** (406) 946-2983

## Contact information

- **Practice address:** 7 MICROWAVE HILL RD STE C, CLANCY, MT 59634-8001
- **Practice address phone:** (406) 422-0656
- **Practice address fax:** (833) 471-4087
- **Mailing address:** 7 MICROWAVE HILL RD STE C, CLANCY, MT 59634-8001
- **Mailing address phone:** (406) 422-0656
- **Mailing address fax:** (833) 471-4087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2026
- **Last updated:** 02/09/2026