Provider Demographics
NPI:1356987143
Name:GLADE COUNSELING SERVICES
Entity type:Organization
Organization Name:GLADE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:GLADE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-234-0787
Mailing Address - Street 1:PO BOX 1557
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-1557
Mailing Address - Country:US
Mailing Address - Phone:406-234-0787
Mailing Address - Fax:
Practice Address - Street 1:18 N 8TH ST STE 1&2
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-3232
Practice Address - Country:US
Practice Address - Phone:406-234-0787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty