Phoenix Mountain Collaborative Dba Explorations

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

PAP-PAP-LIC-21 Issued in MT

Legal business name

PHOENIX MOUNTAIN COLLABORATIVE DBA EXPLORATIONS

Practice address

119 S Hill Rd
Trout Creek, MT 59874-9634

Phone

(406) 827-3863

Fax

(406) 827-4072

NPI assigned

May 13, 2016

Last updated

Dec 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Penelope James

Title

Director & Co-Founder

Phone

(406) 827-3863

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1821444340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S HILL RD",
            "address_2": "P.O. BOX 1469",
            "city": "TROUT CREEK",
            "state": "MT",
            "postal_code": "598749634",
            "telephone_number": "406-827-3863",
            "fax_number": "406-827-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S HILL RD",
            "city": "TROUT CREEK",
            "state": "MT",
            "postal_code": "598749634",
            "telephone_number": "406-827-3863",
            "fax_number": "406-827-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MOUNTAIN COLLABORATIVE DBA EXPLORATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_title_or_position": "DIRECTOR & CO-FOUNDER",
        "authorized_official_telephone_number": "406-827-3863"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MT",
            "license": "PAP-PAP-LIC-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilian Georgi, L.M.T
• Tanya T Kern, LMT
• Cheri L Lambrecht, LCPC
• New Perspectives Mental Health Services LLC
• Peak Lac Counseling LLC
• Melissa Porcaro
• Megan Taylor Stevens, LMT

• Psychiatric Residential Treatment Facility in Trout Creek, MT
• Providers in Trout Creek, MT by specialty
• Psychiatric Residential Treatment Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.