Provider Demographics
NPI:1457847972
Name:ST JOHNS LUTHERAN MINISTRIES INC
Entity Type:Organization
Organization Name:ST JOHNS LUTHERAN MINISTRIES INC
Other - Org Name:LUTHERAN SOCIAL SERVICES OF MONTANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FAMILY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:TRUDI
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-655-5245
Mailing Address - Street 1:2429 MISSION WAY
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-0161
Mailing Address - Country:US
Mailing Address - Phone:406-655-5425
Mailing Address - Fax:
Practice Address - Street 1:2429 MISSION WAY
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-0161
Practice Address - Country:US
Practice Address - Phone:406-655-5425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-09
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty