Provider Demographics
NPI:1760290811
Name:BALSAM COUNSELING AND CONSULTING PC
Entity type:Organization
Organization Name:BALSAM COUNSELING AND CONSULTING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BALSAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-860-0934
Mailing Address - Street 1:1001 S 24TH ST W STE 103
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-7419
Mailing Address - Country:US
Mailing Address - Phone:406-860-0934
Mailing Address - Fax:888-790-0708
Practice Address - Street 1:1001 SOUTH 24TH STREET WEST
Practice Address - Street 2:SUITE 103
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102
Practice Address - Country:US
Practice Address - Phone:406-860-0934
Practice Address - Fax:888-790-0708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty