| Organization Name: | GLENDIVE COUNSELING CENTER |
| NPI Number: | 1982073755 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA FARBER (OWNER) |
| Mailing Address: | 115 W Valentine St Suite 2 Glendive |
| State: | MT US |
| Postal Code: | 593301666 |
| Phone Number: | 4063776217 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2015 |
| NPI Last Update Date: | 09/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SWP-LCSW-LIC-4644 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |