Provider Demographics
NPI:1922559053
Name:WE CARE BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:WE CARE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALLEXENDRA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ST. CLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-546-2301
Mailing Address - Street 1:2809 GREAT NORTHERN LOOP STE 300
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-1749
Mailing Address - Country:US
Mailing Address - Phone:406-370-4473
Mailing Address - Fax:406-630-4002
Practice Address - Street 1:2809 GREAT NORTHERN LOOP STE 300
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1749
Practice Address - Country:US
Practice Address - Phone:406-370-4473
Practice Address - Fax:406-630-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-24
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTC1021925-10400509261QM0850X
MT1041C0700X
251B00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1922559053OtherFIRST CHOICE HEALTH NETWORK
MT1922559053OtherAETNA
MT1922559053OtherBLUE CROSS BLUE SHIELD OF MONTANA
MT1922559053OtherUBH
MT1922559053Medicaid
MT1922559053OtherHUMANA
MT1922559053OtherMONTANA AND MOUNTAIN HEALTH CO OP
MT1922559053OtherPACIFIC SOURCE HEALTH PLANS