OrganizationActive
Mavis Vaillancourt Lcsw Lac LLC
NPI 1699229682 · Mental Health Clinic/Center (Including Community Mental Health Center) · Libby, MT
Provider details
- NPI number
- 1699229682
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Authorized official
- Mavis Vaillancourt, Owner
Mailing address
415 Louisiana Ave
Libby, MT 59923-2131
Registry dates
- Enumerated
- 2016-08-08
- Last updated
- 2025-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.