Provider Demographics
NPI:1902390651
Name:NEW DIRECTIONS COUNSELING
Entity Type:Organization
Organization Name:NEW DIRECTIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISTJANSON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:406-294-9606
Mailing Address - Street 1:2116 BROADWATER AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4764
Mailing Address - Country:US
Mailing Address - Phone:406-294-9606
Mailing Address - Fax:406-294-9607
Practice Address - Street 1:2116 BROADWATER AVE STE 205
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4764
Practice Address - Country:US
Practice Address - Phone:406-294-9606
Practice Address - Fax:406-294-9607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-17
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1528003456OtherLAC
MT1891781761OtherLAC