Mavis Vaillancourt Lcsw Lac LLC · Mental Health Clinic/Center (Including Community Mental Health Center)

415 Louisiana Ave, Libby, MT 59923-2131

Overview

Mavis Vaillancourt Lcsw Lac LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) (organization) practicing in Libby, Montana. The National Provider Identifier (NPI) is #1699229682, which was assigned on August 8, 2016, and the registration record was last updated on March 12, 2025. The practitioner's main practice location is at 415 Louisiana Ave, Libby, MT 59923-2131; the contact telephone number is 4065468507. The primary taxonomy of Mavis Vaillancourt Lcsw Lac LLC is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), with specialization in Mental Health (Including Community Mental Health Center). The authorized official for Mavis Vaillancourt Lcsw Lac LLC is Mavis Vaillancourt (Owner).

Provider Information

NPI 1699229682
Entity Type Organization
Organization Name MAVIS VAILLANCOURT LCSW LAC LLC
Provider Name MAVIS VAILLANCOURT LCSW LAC LLC
Practice Address 415 Louisiana Ave
Libby
MT 59923-2131
Practice Telephone 4065468507
Mailing Address 415 Louisiana Ave
Libby
MT 59923-2131
Certification Date 2025-03-12
Enumeration Date 2016-08-08
Last Update Date 2025-03-12
Is Organization Subpart N

Authorized Official Information

Official Name MAVIS VAILLANCOURT
Official Title OWNER
Credential LCSW LAC
Telephone 4065468507

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N261Q00000XClinic/Center
Y261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)

Taxonomy Information

Primary Taxonomy

Code 261QM0801X
Taxonomy Mental Health Clinic/Center (Including Community Mental Health Center)
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)
Grouping Ambulatory Health Care Facilities
Definition: Definition to come...

Other Taxonomy

Code 261Q00000X
Taxonomy Clinic/Center
Classification Clinic/Center
Grouping Ambulatory Health Care Facilities
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Sincere Counseling & Treatment Centers 7374 Reading Rd Ste 121, Cincinnati, OH 45237-3409Mental Health Clinic/Center (Including Community Mental Health Center)2025-09-06
Shoreline Counseling & Healing LLC 744 Willow Lake Cir Apt 115, Virginia Beach, VA 23452-7959Mental Health Clinic/Center (Including Community Mental Health Center)2025-09-06
Green & Co. Wellness Collective, PLLC 1215 Alpha Rd, Henderson, NC 27536-2523Mental Health Clinic/Center (Including Community Mental Health Center)2025-09-04
Comfort Counseling LLC 307 E 2nd St Ste 250, Newberg, OR 97132-3077Mental Health Clinic/Center (Including Community Mental Health Center)2025-09-05
Disentangle Mental Health PLLC 814 Mildren Ln, Fate, TX 75087-0527Mental Health Clinic/Center (Including Community Mental Health Center)2025-09-04
Internal Balance Therapy, LLC 1005 Terminal Way Ste 172, Reno, NV 89502-2179Mental Health Clinic/Center (Including Community Mental Health Center)2025-09-04
Bella Barajas Counseling LLC 871 Outer Rd Ste D, Orlando, FL 32814-6686Mental Health Clinic/Center (Including Community Mental Health Center)2025-09-04
Anchor Point Behavioral Health, PLLC 917 3rd Ave Ste 200e, Huntington, WV 25701-1404Mental Health Clinic/Center (Including Community Mental Health Center)2025-09-06
Serenity Therapy and Wellness PLLC 1355 Town Home Dr, Apex, NC 27502-6899Mental Health Clinic/Center (Including Community Mental Health Center)2025-09-05
Everstone LLC 7901 4th St N Ste 28961, St Petersburg, FL 33702-4305Mental Health Clinic/Center (Including Community Mental Health Center)2025-09-06
Find all providers with the same taxonomy

Location Information

Street Address 415 LOUISIANA AVE
City LIBBY
State MT
Zip Code 59923-2131
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Mavis H. Vaillancourt 415 Louisiana Ave, Libby, MT 59923-2131Clinical Social Worker2006-08-09

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Addus Healthcare (Idaho), Inc. 415 W 9th St, Libby, MT 59923-1766Contractor2008-07-09
Dr Latter Foot Care LLC 133 Kate Lane, Libby, MT 59923Podiatrist2025-07-01
Orthoapothecary Massage 609 West 8th Street, Unit B, Libby, MT 59923Massage Therapist2025-01-27
Tony Albert Fantozzi 320 E 2nd St, Libby, MT 59923-2010Medical Physician Assistant2005-10-31
Jeffrey William Brown 1827 Arabian Ln, Libby, MT 59923-7983Health & Wellness Coach2025-07-30
National Birth Centers, Inc. 529 N Central Rd, Libby, MT 59923-8913Birthing Clinic/Center2017-10-02
Family Health & Wellness, Inc. 34169 Us Highway 2, Libby, MT 59923-8430Mental Health Counselor2021-03-12
Kevin Russell Hayworth 307 Montana Ave, Libby, MT 59923-2037Basic Emergency Medical Technician2025-03-17
Lance L Ercanbrack 308 Louisiana Ave, Ste 1, Libby, MT 59923-2158Surgery Physician2006-08-25
Thad Kandel 308 Louisiana Ave Ste 1, Libby, MT 59923-2159Surgery Physician2015-05-18
Find all providers in the same zip code

Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Gabriela Vaillancourt 500 Kings Highway, The Stepping Stone Group, New Bedford, MA 02745-0274Behavior Technician2025-04-25
Natesha Anne Vaillancourt 2135 Sw 19th Avenue Rd Ste 103, Ocala, FL 34471-7877Advanced Practice Midwife2007-02-15
Mavis Awuah 9734 Evening Bird Ln, Laurel, MD 20723-5612Case Manager/Care Coordinator2025-05-09
Lexys Vaillancourt 626 E Bloomington St, Iowa City, IA 52245-2600Marriage & Family Therapist2022-09-06
Margaret Vaillancourt 744 Roosevelt Trl Ste 207, Windham, ME 04062-5281Massage Therapist2025-09-03
Katherine Marie Vaillancourt 1351 Washington Blvd, Stamford, CT 06902-2419Family Medicine Physician2020-04-06
Amber Vaillancourt 200 Springs Rd, Bedford, MA 01730-1114Blind Rehabilitation Specialist/Technologist2014-08-05
Mavis H. Vaillancourt 415 Louisiana Ave, Libby, MT 59923-2131Clinical Social Worker2006-08-09
Nancy A Mavis 710 W Napa St, Suite 2, Sonoma, CA 95476-6622Psychiatry Physician2007-02-23
Julien Vaillancourt 513 Parnassus Ave, San Francisco, CA 94143Student in an Organized Health Care Education/Training Program2024-12-12

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.