Provider Demographics
NPI:1902223753
Name:STACKING STONES COUNSELING, LLC
Entity Type:Organization
Organization Name:STACKING STONES COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARLEEN
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:GRUSSLING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-361-0283
Mailing Address - Street 1:PO BOX 777
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-0777
Mailing Address - Country:US
Mailing Address - Phone:406-361-0283
Mailing Address - Fax:
Practice Address - Street 1:120 COPPER KING CT STE A
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840
Practice Address - Country:US
Practice Address - Phone:406-361-0283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT23031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty