Provider Demographics
NPI:1861729535
Name:3 RIVERS MENTAL HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:3 RIVERS MENTAL HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTLESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-830-3294
Mailing Address - Street 1:1620 REGENT ST STE A
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-5665
Mailing Address - Country:US
Mailing Address - Phone:406-830-3294
Mailing Address - Fax:406-258-0367
Practice Address - Street 1:1620 REGENT ST STE A
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-5665
Practice Address - Country:US
Practice Address - Phone:406-830-3294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-17
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X, 2084P0800X, 261QM0850X, 320800000X
MT12127251B00000X
MT12754251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness