Kintsugi Counseling Pllc
LBN: Kintsugi Counseling Pllc
Kintsugi Counseling Pllc is an health care organization with primary practice located at 1601 2Nd Ave N Ste 200A , Great Falls MT 59401-3243. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Hospitals / Religious Nonmedical Health Care Institution. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Kintsugi Counseling Pllc can be contacted via phone (406) 868-0228, or through Walker, Amanda Marie via phone (406) 868-0228.
Contact Information
Primary practice address
1601 2Nd Ave N Ste 200A
Great Falls MT 59401-3243
Phone: (406) 868-0228
Fax: (877) 828-5889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Hospitals / Religious Nonmedical Health Care Institution | 282J00000X |
Profile Details
| NPI number | 1356910210 |
|---|---|
| LBN Legal business name | Kintsugi Counseling Pllc |
| DBA Doing business as | |
| Authorized official | Walker, Amanda Marie LCPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2021 |
| Last updated | Jun 23rd, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356910210 | NPPES |
| Montana | MEDICAID | 11111 |
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