Organization
SUNBURST HEALTH LLC
Active
Other names
Cedar Creek Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN STOW (CREDENTIALING MANAGER)
(406) 291-0321
Entity
Organization
Contact information
Practice address
2620 CONNERY WAY, MISSOULA, MT 59808-1325
(406) 203-9948
(406) 203-9949
Mailing address
2282 US HIGHWAY 93 S, KALISPELL, MT 59901-8499
(406) 890-2570
(406) 203-9949
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/30/2018
Last updated
11/19/2025
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