# NORTH MOUNTAIN WELLNESS GROUP

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

## Provider details

- **NPI number:** 1508380841
- **Authorized official:** MR. BRENT CARPENTER LCSW (OWNER)
- **Authorized official phone:** (406) 794-4190

## Contact information

- **Practice address:** 1500 POLY DR, BILLINGS, MT 59102-1748
- **Practice address phone:** (406) 794-4190
- **Mailing address:** 4409 PINE COVE RD, BILLINGS, MT 59106-1334
- **Mailing address phone:** (406) 794-4190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | BBH-LCSW-LIC-18808 | MT | — |
| 1041C0700X | Clinical Social Worker | BBH-LCSW-LIC-7367 | MT | Yes |

## Other

- **Enumeration date:** 07/28/2017
- **Last updated:** 11/22/2017