Healthcare Provider Details
I. General information
NPI: 1053932103
Provider Name (Legal Business Name): BEAUTIFUL DIRECTIONS COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/29/2020
Last Update Date: 06/05/2020
Certification Date: 06/05/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1071 LINCOLN LN
BILLINGS MT
59105-3247
US
IV. Provider business mailing address
1071 LINCOLN LN
BILLINGS MT
59105-3247
US
V. Phone/Fax
- Phone: 406-927-3108
- Fax:
- Phone: 406-927-3108
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALISON
FAY
WATT
Title or Position: OWNER
Credential: MS, LCPC, LAC
Phone: 406-927-3108