Provider Demographics
NPI:1558115345
Name:MISSOURI RIVER COUNSELING, INC
Entity Type:Organization
Organization Name:MISSOURI RIVER COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ENBLOM
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-465-9990
Mailing Address - Street 1:1124 HELENA AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3559
Mailing Address - Country:US
Mailing Address - Phone:406-465-9990
Mailing Address - Fax:
Practice Address - Street 1:1124 HELENA AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3559
Practice Address - Country:US
Practice Address - Phone:406-465-9990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health