# BITTERROOT BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1639923691
- **Authorized official:** BLYTHE SIEBENALLER LCSW (OWNER)
- **Authorized official phone:** (406) 662-1050

## Contact information

- **Practice address:** 320 N 1ST ST STE G, HAMILTON, MT 59840-2569
- **Practice address phone:** (406) 662-1050
- **Mailing address:** 320 N 1ST ST STE G, HAMILTON, MT 59840-2569
- **Mailing address phone:** (406) 662-1050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2024
- **Last updated:** 04/16/2024