Healthcare Provider Details

I. General information

NPI: 1811527963
Provider Name (Legal Business Name): ASCENSION COUNSELING OF MONTANA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2020
Last Update Date: 01/16/2020
Certification Date: 01/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 SONOMA DR
HELENA MT
59601-8632
US

IV. Provider business mailing address

717 SONOMA DR
HELENA MT
59601-8632
US

V. Phone/Fax

Practice location:
  • Phone: 406-459-3410
  • Fax:
Mailing address:
  • Phone: 406-459-3410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTINA ANN PRITCHARD
Title or Position: PSYCHOTHERAPIST
Credential: LCSW
Phone: 406-459-3410