Healthcare Provider Details

I. General information

NPI: 1689400590
Provider Name (Legal Business Name): COMMUNITY COUNSELING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 S EWING ST
HELENA MT
59601-5938
US

IV. Provider business mailing address

25 S EWING ST
HELENA MT
59601-5938
US

V. Phone/Fax

Practice location:
  • Phone: 406-565-6641
  • Fax:
Mailing address:
  • Phone: 406-565-6641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARVIN COLMAN
Title or Position: OWNER
Credential: LAC,LCSW
Phone: 406-565-6641