Provider Demographics
NPI:1164319646
Name:COLWILL, KARLA LYNN (MA, PCLC, NCC)
Entity type:Individual
Prefix:MS
First Name:KARLA
Middle Name:LYNN
Last Name:COLWILL
Suffix:
Gender:F
Credentials:MA, PCLC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 S 7TH ST W APT B
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-3309
Mailing Address - Country:US
Mailing Address - Phone:406-240-3063
Mailing Address - Fax:
Practice Address - Street 1:2350 MULLAN RD
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1830
Practice Address - Country:US
Practice Address - Phone:406-258-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MTBBH-PCLC-LIC-64740101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health