Provider Demographics
NPI:1023642378
Name:ASPIRE COUNSELING CENTER L.L.C.
Entity type:Organization
Organization Name:ASPIRE COUNSELING CENTER L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-219-8689
Mailing Address - Street 1:1290 US HIGHWAY 2 E # 1004
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3219
Mailing Address - Country:US
Mailing Address - Phone:406-219-8689
Mailing Address - Fax:406-303-4039
Practice Address - Street 1:1849 N BELMAR DR
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-8922
Practice Address - Country:US
Practice Address - Phone:406-219-8689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT7134373Medicaid