1689448896 NPI number — SECOND WIND COUNSELING LTD. CO.

Table of content: (NPI 1689448896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689448896 NPI number — SECOND WIND COUNSELING LTD. CO.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SECOND WIND COUNSELING LTD. CO.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689448896
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/08/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2121
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EAST HELENA
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59635-2121
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-919-6466
Provider Business Mailing Address Fax Number:
406-551-1066

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2001 11TH AVE STE 24-27
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HELENA
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59601-4875
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-219-8714
Provider Business Practice Location Address Fax Number:
406-551-1066
Provider Enumeration Date:
11/08/2023

Additional Information

Authorized Official

Authorized Official Last Name:
WALTER
Authorized Official First Name:
MIRI'IKAI
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/COUNSELOR
Authorized Official Telephone Number:
406-607-7003

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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