Healthcare Provider Details
I. General information
NPI: 1003678848
Provider Name (Legal Business Name): TEAMING TOGETHER COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/26/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 5TH ST S
GLASGOW MT
59230
US
IV. Provider business mailing address
PO BOX 906
GLASGOW MT
59230-0906
US
V. Phone/Fax
- Phone: 406-230-2529
- Fax: 406-272-3393
- Phone: 406-230-2529
- Fax:
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 | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELANIE
BURNER
Title or Position: OWNER
Credential: LCPC
Phone: 406-230-2529