Healthcare Provider Details

I. General information

NPI: 1326930405
Provider Name (Legal Business Name): ANOTHER CHANCE RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MT HWY 7
BAKER MT
59313
US

IV. Provider business mailing address

PO BOX 175
BAKER MT
59313-0175
US

V. Phone/Fax

Practice location:
  • Phone: 701-770-0233
  • Fax:
Mailing address:
  • Phone: 701-770-0233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: TRACEY ANN GOERNDT
Title or Position: OWNER/COUNSELOR
Credential:
Phone: 701-770-0233