Provider Demographics
NPI:1871472167
Name:MOUNTAINS AND WAVES MENTAL HEALTH PLLC
Entity type:Organization
Organization Name:MOUNTAINS AND WAVES MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGRATH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:406-498-4387
Mailing Address - Street 1:125 BANK ST STE 310
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4413
Mailing Address - Country:US
Mailing Address - Phone:406-498-4387
Mailing Address - Fax:949-864-3694
Practice Address - Street 1:125 BANK ST STE 310
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4413
Practice Address - Country:US
Practice Address - Phone:406-498-4387
Practice Address - Fax:949-864-3694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health