Provider Demographics
NPI:1851015879
Name:BEREAN COUNSELING LLC
Entity Type:Organization
Organization Name:BEREAN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:VANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-970-8793
Mailing Address - Street 1:PO BOX 51456
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-1362
Mailing Address - Country:US
Mailing Address - Phone:406-970-8793
Mailing Address - Fax:
Practice Address - Street 1:3216 HOMER DAVIS RD
Practice Address - Street 2:
Practice Address - City:SHEPHERD
Practice Address - State:MT
Practice Address - Zip Code:59079-4020
Practice Address - Country:US
Practice Address - Phone:406-970-8793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health