Provider Demographics
NPI:1497273452
Name:HEALING RAIN COUNSELING, LLC
Entity Type:Organization
Organization Name:HEALING RAIN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER/CREDENTIALIN
Authorized Official - Prefix:
Authorized Official - First Name:KAYDI
Authorized Official - Middle Name:
Authorized Official - Last Name:MUUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-672-7802
Mailing Address - Street 1:PO BOX 22504
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59104-2504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2520 5TH AVE S
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-4304
Practice Address - Country:US
Practice Address - Phone:406-860-5215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT44661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1245677186Medicaid