The Gyst House 2

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

THE GYST HOUSE 2

Practice address

4404 4TH Ave N
Great Falls, MT 59405-1401

Phone

(406) 590-5963

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Victoria J Davenport, LAC, LCPCNPI 1972018216

Title

Clinical Director

Phone

(406) 590-5963

Specialties & licenses 1

Addresses

Practitioners 1

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

• Victoria Jean Davenport, LCPC

  • Mental Health Counselor
  • Great Falls, MT
  • NPI 1972018216
  NPD Authorized official

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1770319618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 4TH AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594051401",
            "telephone_number": "406-590-5963",
            "fax_number": "406-866-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 4TH AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594051401",
            "telephone_number": "406-590-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GYST HOUSE 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "406-590-5963",
        "authorized_official_credential": "LAC, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Taylor, MSN, RN, CPNP-PC
• Ten Arrows LLC
• Terri Flebotte, LCSW LLC
• Monica Thackeray
• The Gyst House
• The Lazy Ms, LLC
• The Orthopedic Center of Montana Ambulatory Surgery Center, LLC
• Garrett Michael Theisen
• Brian R Thomas
• Erin Thomas

• Substance Use Disorder Rehabilitation Clinic/Center in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.