Provider Demographics
NPI:1881120962
Name:HEALING POINT COUNSLEING SERVICES
Entity type:Organization
Organization Name:HEALING POINT COUNSLEING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACQUE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:NEGRETE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:775-450-1596
Mailing Address - Street 1:111 GALLATIN ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:MT
Mailing Address - Zip Code:59474-1676
Mailing Address - Country:US
Mailing Address - Phone:775-450-1596
Mailing Address - Fax:
Practice Address - Street 1:111 GALLATIN ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:MT
Practice Address - Zip Code:59474-1676
Practice Address - Country:US
Practice Address - Phone:775-450-1596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT187181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty