Provider Demographics
NPI:1902685027
Name:ON TRACK COUNSELING LLC
Entity Type:Organization
Organization Name:ON TRACK COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:R
Authorized Official - Last Name:MUMMEY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:406-633-5850
Mailing Address - Street 1:PO BOX 163
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59103-0163
Mailing Address - Country:US
Mailing Address - Phone:406-831-5188
Mailing Address - Fax:406-633-5850
Practice Address - Street 1:100 N 27TH ST STE 240
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2093
Practice Address - Country:US
Practice Address - Phone:406-831-5188
Practice Address - Fax:406-633-5850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty