# INTERMOUNTAIN DEACONNESS HOME FOR CHILDREN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INTERMOUNTAIN CHILD & FAMILY PSYCHOLOGICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760703474
- **Authorized official:** JENNIFER WILLIAMS (CAO)
- **Authorized official phone:** (406) 457-4822

## Contact information

- **Practice address:** 322 2ND AVE W STE A, KALISPELL, MT 59901-4867
- **Practice address phone:** (406) 755-4022
- **Practice address fax:** (406) 755-4023
- **Mailing address:** 3240 DREDGE DR, HELENA, MT 59602-0548
- **Mailing address phone:** (406) 442-7920
- **Mailing address fax:** (406) 442-7949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2010
- **Last updated:** 11/28/2023