Organization Active NPI

Realization Therapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stevensville, MT
National Provider Identifier
1336701473
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REALIZATION THERAPY, PLLC
Practice address
115 W 3Rd St Ste 205
Stevensville, MT 59870-2034
Phone
(406) 360-8537
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Renee Vaillancourt McGrath, MACMHC, PCLCNPI 1437814043
Title
Owner
Phone
(406) 360-8537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

115 W 3Rd St Ste 205
Stevensville, MT 59870-2034

Mailing address

115 W 3Rd St Ste 205
Stevensville, MT 59870-2034
Phone (406) 360-8537

National Provider Directory

National Provider Directory

Locations

115 W 3rd St
Ste 205
Stevensville, MT 59870
Phone (406) 360-8537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1336701473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 3RD ST STE 205",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702034",
            "telephone_number": "406-360-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 3RD ST STE 205",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702034",
            "telephone_number": "406-360-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALIZATION THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "VAILLANCOURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-360-8537",
        "authorized_official_credential": "MACMHC, PCLC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.