Provider Demographics
NPI:1740962372
Name:RICK GREENE LCSW COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:RICK GREENE LCSW COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:III
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-529-0493
Mailing Address - Street 1:407 MAIN ST. SW
Mailing Address - Street 2:
Mailing Address - City:RONAN
Mailing Address - State:MT
Mailing Address - Zip Code:59864-2710
Mailing Address - Country:US
Mailing Address - Phone:406-529-0493
Mailing Address - Fax:
Practice Address - Street 1:407 MAIN ST. SW
Practice Address - Street 2:
Practice Address - City:RONAN
Practice Address - State:MT
Practice Address - Zip Code:59864-2710
Practice Address - Country:US
Practice Address - Phone:406-529-0493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1477906725Medicaid