Provider Demographics
NPI:1588211411
Name:COLTON COMPANIONING, LLC
Entity Type:Organization
Organization Name:COLTON COMPANIONING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:MCINTYRE
Authorized Official - Last Name:COLTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-670-2169
Mailing Address - Street 1:PO BOX 412
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59103-0412
Mailing Address - Country:US
Mailing Address - Phone:406-670-2169
Mailing Address - Fax:
Practice Address - Street 1:2420 2ND AVE N
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2226
Practice Address - Country:US
Practice Address - Phone:406-670-2169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty