Healthcare Provider Details
I. General information
NPI: 1245985126
Provider Name (Legal Business Name): BEGINNERS MIND MENTAL HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/18/2022
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2110 OVERLAND AVE STE 119B
BILLINGS MT
59102-6440
US
IV. Provider business mailing address
PO BOX 80874
BILLINGS MT
59108-0874
US
V. Phone/Fax
- Phone: 406-208-3450
- Fax:
- Phone: 406-208-3450
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DIANE
HURD
Title or Position: OWNER
Credential: NP
Phone: 406-208-3450