# MONTANA THERAPY

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

## Provider details

- **NPI number:** 1578891289
- **Authorized official:** PROF. LAUREL A ANDRECHAK FNP (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (406) 622-5955

## Contact information

- **Practice address:** 2111 WASHINGTON ST, FORT BENTON, MT 59442
- **Practice address phone:** (406) 622-5955
- **Practice address fax:** (406) 622-5477
- **Mailing address:** 2111 WASHINGTON, PO BOX 806, FORT BENTON, MT 59442
- **Mailing address phone:** (406) 622-5955
- **Mailing address fax:** (406) 622-5477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 20513RN | MT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 20513RN | MT | Yes |

## Other

- **Enumeration date:** 11/19/2009
- **Last updated:** 11/19/2009