Provider Demographics
NPI:1629842885
Name:SEED COUNSELING MONTANA
Entity Type:Organization
Organization Name:SEED COUNSELING MONTANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:DANZA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-747-0126
Mailing Address - Street 1:1970 STADIUM DR STE B
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-0623
Mailing Address - Country:US
Mailing Address - Phone:406-747-0126
Mailing Address - Fax:
Practice Address - Street 1:1970 STADIUM DR STE 2
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-0623
Practice Address - Country:US
Practice Address - Phone:202-280-3516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty