Healthcare Provider Details

I. General information

NPI: 1508253527
Provider Name (Legal Business Name): DISCOVERY FAMILY COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 04/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 13TH ST S
GREAT FALLS MT
59405-2344
US

IV. Provider business mailing address

PO BOX 2342
GREAT FALLS MT
59403-2342
US

V. Phone/Fax

Practice location:
  • Phone: 406-761-4150
  • Fax: 406-761-4156
Mailing address:
  • Phone: 406-761-4150
  • Fax: 406-761-4156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1568
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1568
License Number StateMT

VIII. Authorized Official

Name: BOBBIE L VOEGEL
Title or Position: OWNER/MEMBER
Credential: LCPC
Phone: 406-761-4150