Healthcare Provider Details

I. General information

NPI: 1013677327
Provider Name (Legal Business Name): CMP POWER OF HEALING COUNSELING AND TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2021
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 2ND AVE N
GREAT FALLS MT
59401-3259
US

IV. Provider business mailing address

5 BEAR PAW PL
GREAT FALLS MT
59404-6438
US

V. Phone/Fax

Practice location:
  • Phone: 406-468-8425
  • Fax:
Mailing address:
  • Phone: 406-468-8425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARLOS MALAVER PARADA
Title or Position: COUNSELOR
Credential: LAC
Phone: 406-468-8425