Organization
BITTERROOT VALLEY EDUCATION COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL REYNOLDS (BUSINESS MANAGER)
(406) 777-2494
Entity
Organization
Contact information
Practice address
300 PARK ST, STEVENSVILLE, MT 59870-2603
(406) 777-2494
(406) 777-2495
Mailing address
300 PARK ST, PO BOX 187, STEVENSVILLE, MT 59870-2603
(406) 777-2494
(406) 777-2495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1082
MT
1041C0700X
Clinical Social Worker
746
MT
251S00000X
Community/Behavioral Health Agency
Primary
11089
MT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256598
—
MT
05
—
350795
—
MT
05
—
503489
—
MT
Enumeration date
05/15/2007
Last updated
12/13/2024
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