Provider Demographics
NPI:1700425139
Name:LIFES A JOURNEY COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:LIFES A JOURNEY COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-219-8724
Mailing Address - Street 1:PO BOX 1238
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59403-1238
Mailing Address - Country:US
Mailing Address - Phone:406-219-8724
Mailing Address - Fax:877-232-9719
Practice Address - Street 1:1601 2ND AVE N
Practice Address - Street 2:STE #400
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401
Practice Address - Country:US
Practice Address - Phone:406-219-8724
Practice Address - Fax:877-232-9719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-02
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health