Provider Demographics
NPI:1386215879
Name:ALPINE COUNSELING LLC
Entity Type:Organization
Organization Name:ALPINE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:NIX
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-518-1786
Mailing Address - Street 1:141 DISCOVERY DR STE 104
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-4134
Mailing Address - Country:US
Mailing Address - Phone:406-518-1786
Mailing Address - Fax:
Practice Address - Street 1:141 DISCOVERY DR STE 104
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-4134
Practice Address - Country:US
Practice Address - Phone:406-518-1786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty