Healthcare Provider Details

I. General information

NPI: 1174278741
Provider Name (Legal Business Name): TRUE NORTH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2022
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 1ST ST NW STE 14
CHOTEAU MT
59422-9378
US

IV. Provider business mailing address

PO BOX 1004
CHOTEAU MT
59422-1004
US

V. Phone/Fax

Practice location:
  • Phone: 406-369-6129
  • Fax:
Mailing address:
  • Phone: 406-369-6129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: LIDA HOLST
Title or Position: OWNER
Credential: LCSW
Phone: 406-697-8655