# MONTANA THERAPY

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

## Provider details

- **NPI number:** 1891026415
- **Authorized official:** MS. LAUREL A ANDRECHAK PMHNP-BC (OWNER)
- **Authorized official phone:** (406) 622-3406

## Contact information

- **Practice address:** 1601 2ND AVE N, GREAT FALLS, MT 59401-3259
- **Practice address phone:** (406) 622-3406
- **Mailing address:** PO BOX 806, FORT BENTON, MT 59442-0806
- **Mailing address phone:** (406) 622-3406

## Taxonomy

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

## Other

- **Enumeration date:** 01/21/2010
- **Last updated:** 01/21/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1992907372 | — | MT |
