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NPI 1114804309

NPI 1114804309 : BUFFALO RIDGE COUNSELING LLC : BILLINGS, MT

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General NPI Number Information
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    NPI Number           |    1114804309
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    Entity Type          |    Organization 
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    Legal Business Name  |    BUFFALO RIDGE COUNSELING LLC 
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Dates
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    Enumeration Date     |    08/19/2025
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    Last Update Date     |    08/19/2025
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Provider Practice Location Address
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    Address Line         |    2619 SAINT JOHNS AVE STE F 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59102-4690
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    Country              |    US
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    Telephone            |    918-809-1406
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    104 N 28TH ST UNIT 302 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59101-2073
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    Country              |    US
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    Telephone            |    918-809-1406
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. TERRI BELL BLEVINS 
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    Credential           |    LCPC
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    Telephone            |    918-809-1406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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