MEDICARE: EASTON COUNSELING AND CONSULTING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	891	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	742000	OTHER	MT	BCBS

General Provider Information

NPI Number	:	1477727063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTON COUNSELING AND CONSULTING INC

Provider Business Mailing Address
First Line	:	PO BOX 20442
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59104-0442
Country	:	US
Telephone Number	:	406-690-0603
Fax Number	:	406-294-0967

Provider Business Practice Location Address
First Line	:	3021 6TH AVE N
Second Line	:	SUITE 110
City	:	BILLINGS
State	:	MT
Zip	:	59101-1145
Country	:	US
Telephone Number	:	406-690-0603
Fax Number	:	406-294-0967

Authorized Official
Title or Position	:	OWNER
Name	:	TAMARA EASTON
Credential	:	LCPC
Telephone Number	:	406-690-0603

Provider Enumeration Date	:	04/15/2008
Last Update Date	:	11/13/2009

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