Organization
LEGACY EDUCATION AND BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN BRYANT LCSW (PRESIDENT/ CEO)
(406) 270-2078
Entity
Organization
Contact information
Practice address
913 SW HIGGINS AVE STE 201, MISSOULA, MT 59803-1423
(406) 270-2078
Mailing address
913 SW HIGGINS AVE STE 201, MISSOULA, MT 59803-1423
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/29/2024
Last updated
04/28/2025
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