SOUTHWEST CHEMICAL DEPENDENCY PROGRAM (NPI# 1649300567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649300567 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST CHEMICAL DEPENDENCY PROGRAM |
| Practice Address |
430 E Park St Livingston MT 59047-2755 |
| Mailing Address |
Po Box 1587 Livingston MT 59047-5587 |
| Practice Telephone | 4062222812 |
| Practice Fax Number | 4062224764 |
| Mailing Telephone | 4062222812 |
| Mailing Fax Number | 4062224764 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | JEAN E. MCCAULEY (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4062222812 |
| Authorized Official Credential | L.A.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
089288 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0320076 | 05 | |
| MT | PROVIDER NUMBER | 760140 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871618074 | Southwest Chemical Dependency Program | Local Education Agency (LEA) | 730 N Montana St, Suite 9, Dillon, MT 59725-8497 | 2007-03-20 |
| Street Address |
430 E PARK ST |
| City | LIVINGSTON |
| State | MT |
| Zip Code | 59047-2755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407032238 | Jim Havard | Counselor | 430 E Park St, Livingston, MT 59047-2755 | 2008-01-10 |
| 1952426843 | Jean E Mccauley | Clinic/Center | 430 E Park St, Livingston, MT 59047-2755 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013578343 | Sara Gentry | Social Worker | 126 East Callendar Suite 5, Livingston, MT 59047 | 2019-06-26 |
| 1972099752 | Lisa Talcott LLC | Social Worker | 410 S. 11th St, Livingston, MT 59047 | 2018-07-05 |
| 1326535071 | Christine Evelyn May | Counselor | 320 N Main St Ste 2, Livingston, MT 59047 | 2018-04-18 |
| 1033617469 | Lisa Talcott | Social Worker | 410 S. 11th St., Livingston, MT 59047 | 2018-01-31 |
| 1821492125 | Kim Salloux Lac | Preferred Provider Organization | 109 W Callender Suite 2e, Livingston, MT 59047 | 2014-10-15 |
| 1043657752 | Jamie Lynn Van Zee | Speech-Language Pathologist | 80 West Pine Creek, Livingston, MT 59047 | 2013-06-04 |
| 1598051039 | Emma Taylor Neal | Occupational Therapist | 608 E Milky Way Dr, Livingston, MT 59047 | 2011-06-23 |
| 1063715985 | Jacqueline K Isaly | Counselor | 430 E Park, Livingston, MT 59047 | 2010-12-15 |
| 1063665768 | Danny F. Neill | Hearing Instrument Specialist | 615 W. Park St., Livingston, MT 59047 | 2008-10-28 |
| 1093971376 | Kevin Graham Scott | Dentist | 422 South Main Street, Livingston, MT 59047 | 2008-08-05 |
| Find all providers in zip 59047 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477859536 | Merced County Department of Mental Health Livingston Alcohol and Drug | Clinic/Center | 1471 B St Ste N-o, Livingston, CA 95334-1432 | 2011-02-07 |
| 1548638190 | County of Merced | Clinic/Center | 1471 B St, Ste L,m,n,o, Livingston, CA 95334-1432 | 2015-09-11 |
| 1952426843 | Jean E Mccauley | Clinic/Center | 430 E Park St, Livingston, MT 59047-2755 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902390651 | New Directions Counseling | Clinic/Center | 2116 Broadwater Ave Ste 205, Billings, MT 59102-4764 | 2018-06-17 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1942714902 | Patricia Flynn, Lac | Clinic/Center | 1629 Avenue D Ste B4, Billings, MT 59102-3071 | 2017-11-28 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1720513674 | Crow Nation Recovery Center | Clinic/Center | 101 Baacheeitche, Crow Agency, MT 59022 | 2017-04-28 |
| 1386948453 | Misfits, LLC | Clinic/Center | 1111 14th St S Ste C, Great Falls, MT 59405-4656 | 2011-01-04 |
| 1487818928 | New Frontier Addiction Services, Inc. | Clinic/Center | 118 E 7th St Ste 2e, Anaconda, MT 59711-2953 | 2008-07-14 |
| 1053521633 | Alcohol & Drug Services of Gallatin County | Clinic/Center | 2310 N 7th Ave, Bozeman, MT 59715-2550 | 2007-05-23 |
| 1285769786 | Missoula Urban Indian Health Center, Inc. | Clinic/Center | 830 W Central Ave, Missoula, MT 59801-7931 | 2007-02-23 |
| 1629114624 | Chouteau County | Clinic/Center | 1308 Franklin Street, Fort Benton, MT 59442-0459 | 2007-01-29 |
| Find all providers with the same taxonomy | ||||
| City | LIVINGSTON |
| Zip Code | 59047 |
Please comment or provide details below to improve the information on SOUTHWEST CHEMICAL DEPENDENCY PROGRAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.