Organization Name: | ESSENCE COUNSELING SERVICES LLC |
NPI Number: | 1346602885 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ASHLEY DAWN MEIDINGER (SOLE MEMBER) |
Mailing Address: | 519 Main St Miles City |
State: | MT US |
Postal Code: | 593013037 |
Phone Number: | 5756930167 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2016 |
NPI Last Update Date: | 03/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | BBH-LCSW-LIC-9018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |