# OAK CREEK CANYON PSYCHOTHERAPY PLLC

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

## Provider details

- **NPI number:** 1659265155
- **Authorized official:** BRIDGET EDWARDS LCPC (OWNER)
- **Authorized official phone:** (970) 445-8891

## Contact information

- **Practice address:** 120 HICKORY ST STE A, MISSOULA, MT 59801-1820
- **Practice address phone:** (970) 445-8891
- **Mailing address:** PO BOX 9431, MISSOULA, MT 59807-9431
- **Mailing address phone:** (970) 445-8891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2025
- **Last updated:** 01/13/2026