Provider Demographics
NPI:1689448896
Name:SECOND WIND COUNSELING LTD. CO.
Entity Type:Organization
Organization Name:SECOND WIND COUNSELING LTD. CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MIRI'IKAI
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, PCLC
Authorized Official - Phone:406-607-7003
Mailing Address - Street 1:PO BOX 2121
Mailing Address - Street 2:
Mailing Address - City:EAST HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59635-2121
Mailing Address - Country:US
Mailing Address - Phone:406-919-6466
Mailing Address - Fax:406-551-1066
Practice Address - Street 1:2001 11TH AVE STE 24-27
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4875
Practice Address - Country:US
Practice Address - Phone:406-219-8714
Practice Address - Fax:406-551-1066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)