Provider Demographics
NPI:1578274635
Name:NEW DIMENSIONS COUNSELING, LLC
Entity Type:Organization
Organization Name:NEW DIMENSIONS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRESSLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC, LAC, LMFT
Authorized Official - Phone:406-270-9286
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59903-0072
Mailing Address - Country:US
Mailing Address - Phone:406-270-9286
Mailing Address - Fax:406-890-2502
Practice Address - Street 1:125 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-7735
Practice Address - Country:US
Practice Address - Phone:406-270-9286
Practice Address - Fax:468-902-5020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT541B939067Medicaid