Healthcare Provider Details

I. General information

NPI: 1154644318
Provider Name (Legal Business Name): CREEK COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2010
Last Update Date: 09/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 S EWING ST SUITE 517
HELENA MT
59601-5938
US

IV. Provider business mailing address

25 S EWING ST SUITE 517
HELENA MT
59601-5938
US

V. Phone/Fax

Practice location:
  • Phone: 406-282-3696
  • Fax: 406-545-3940
Mailing address:
  • Phone: 406-282-3696
  • Fax: 406-545-3940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberBBH-LCPC-LIC-9676
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SHIRLEY KALANA CREEK
Title or Position: OWNER
Credential: M.S., LCPC
Phone: 406-282-3696