MAVIS VAILLANCOURT LCSW LAC LLC
NPI 1699229682
Clinic/Center - Mental Health (Including Community Mental Health Center) in Libby, MT

Active since August 08, 2016
415 LOUISIANA AVE, LIBBY, MT 59923(406) 546-8507 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 12, 2025, Aug 8, 2016 (2 updates tracked since 2016).

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance

About MAVIS VAILLANCOURT LCSW LAC LLC

This page provides the complete NPI Profile along with additional information for Mavis Vaillancourt Lcsw Lac Llc, a provider established in Libby, Montana operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1699229682 assigned on August 2016. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mavis Vaillancourt Lcsw Lac (Owner)

NPI
1699229682 Verify this NPI
Provider Name
MAVIS VAILLANCOURT LCSW LAC LLC
Entity Type
Organization
Location Address
415 LOUISIANA AVE LIBBY, MT 59923
Location Phone
(406) 546-8507
Mailing Address
415 LOUISIANA AVE LIBBY, MT 59923
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2016
Last Update Date
03-12-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? 901 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MAVIS VAILLANCOURT LCSW LAC

Authorized Official Title
OWNER
Authorized Official Phone
(406) 546-8507

Reviews for MAVIS VAILLANCOURT LCSW LAC LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
415 LOUISIANA AVE
LIBBY, MT 59923
Social Worker (Clinical)
415 LOUISIANA AVE
LIBBY, MT 59923

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699229682, enumerated as an "organization" on August 08, 2016.

The provider is located at 415 LOUISIANA AVE LIBBY, MT 59923 and the phone number is (406) 546-8507.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana. Please consult your insurance carrier or call the provider to verify.