Healthcare Provider Details
I. General information
NPI: 1568636066
Provider Name (Legal Business Name): DENTON COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/15/2008
Last Update Date: 11/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
404 N 31ST ST SUITE 106
BILLINGS MT
59101-1211
US
IV. Provider business mailing address
PO BOX 7183
BILLINGS MT
59103-7183
US
V. Phone/Fax
- Phone: 406-259-2413
- Fax: 406-294-0967
- Phone: 406-259-2413
- Fax: 406-294-0967
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 576 LAC |
| License Number State | MT |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 472LCPC |
| License Number State | MT |
VIII. Authorized Official
Name:
DEL
A
DENTON
Title or Position: OWNER
Credential: LAC
Phone: 406-259-2413