Provider Demographics
NPI:1174008155
Name:THOUGHTFUL ENDEAVORS COUNSELING LLC
Entity Type:Organization
Organization Name:THOUGHTFUL ENDEAVORS COUNSELING LLC
Other - Org Name:PAMELA GRESKOWIAK
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRESKOWIAK
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-257-1206
Mailing Address - Street 1:1115 7TH AVE E
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-5830
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30 5TH ST E STE 101
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4970
Practice Address - Country:US
Practice Address - Phone:406-257-1206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTBBH-LCPC-LIC--15782Medicaid
MT7292082Medicaid
12794581OtherCAQH