Provider Demographics
NPI:1477215093
Name:SYSTEMS COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:SYSTEMS COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCSW
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:BRYAN
Authorized Official - Last Name:LUVISI
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:406-404-6291
Mailing Address - Street 1:PO BOX 6154
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59771-6154
Mailing Address - Country:US
Mailing Address - Phone:406-404-6291
Mailing Address - Fax:406-551-4624
Practice Address - Street 1:602 S FERGUSON AVE STE 6
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6483
Practice Address - Country:US
Practice Address - Phone:406-404-6291
Practice Address - Fax:406-551-4624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-11
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT50482OtherMT BOARD OF BEHAVIORAL HEALTH