| Eastern Front Counseling Llc | |
|
600 S Main St Ste 10 Conrad MT 59425-2532 | |
| (406) 278-0440 | |
| (406) 278-0330 |
| Full Name | Eastern Front Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 600 S Main St Ste 10, Conrad, Montana |
| Authorized Official Name and Position | Tonya Carpenter (OWNER) |
| Authorized Official Contact | 4062780440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Front Counseling Llc 600 S Main St Ste 10 Conrad MT 59425-2532 Ph: (406) 278-0440 | Eastern Front Counseling Llc 600 S Main St Ste 10 Conrad MT 59425-2532 Ph: (406) 278-0440 |
| NPI Number | 1427604354 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 12/16/2019 |
| Certification Date | 12/16/2019 |
| Medicare PECOS PAC ID | 6406186550 |
|---|---|
| Medicare Enrollment ID | O20191002003526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427604354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| Provider Name | Cheri Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861402109 PECOS PAC ID: 6204920242 Enrollment ID: I20070920000714 |
| Provider Name | Tonya Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306364153 PECOS PAC ID: 2769712827 Enrollment ID: I20200311002033 |
Sunrise Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 S Main St, Conrad, MT 59425 Phone: 406-271-2718 Fax: 406-271-2719 |