Provider Demographics
NPI:1497566608
Name:EMMAUS COUNSELING SERVICES OF MONTANA LLC
Entity type:Organization
Organization Name:EMMAUS COUNSELING SERVICES OF MONTANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAGNOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-578-1058
Mailing Address - Street 1:314 N LAST CHANCE GULCH UNIT 306
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-5062
Mailing Address - Country:US
Mailing Address - Phone:307-331-2661
Mailing Address - Fax:
Practice Address - Street 1:253 PARK AVE
Practice Address - Street 2:
Practice Address - City:CRAIGSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26205-9630
Practice Address - Country:US
Practice Address - Phone:307-331-2661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMMAUS COUNSELING SERVICES OF MONTANA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty