Healthcare Provider Details
I. General information
NPI: 1427722339
Provider Name (Legal Business Name): HARVEST COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/04/2021
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1320 DIVISION ST
BILLINGS MT
59101-6001
US
IV. Provider business mailing address
1235 WICKS LN W
BILLINGS MT
59105-3584
US
V. Phone/Fax
- Phone: 406-409-4541
- Fax:
- Phone: 406-259-5648
- Fax: 406-259-5691
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LYNAE
A
GILBERT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 406-259-5648