Healthcare Provider Details

I. General information

NPI: 1871030882
Provider Name (Legal Business Name): ROCKY FRONT COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2017
Last Update Date: 02/10/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 1ST AVE S
GREAT FALLS MT
59401-3702
US

IV. Provider business mailing address

724 1ST AVE S
GREAT FALLS MT
59401-3702
US

V. Phone/Fax

Practice location:
  • Phone: 406-333-1866
  • Fax:
Mailing address:
  • Phone: 920-979-9432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18861
License Number StateMT
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: BENJAMIN THOMAS HUEMPFNER
Title or Position: OWNER
Credential:
Phone: 406-333-1866