Provider Demographics
NPI:1093528119
Name:MOVE MOUNTAINS COUNSELING PLLC
Entity type:Organization
Organization Name:MOVE MOUNTAINS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:EBERLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:701-367-8293
Mailing Address - Street 1:575 10TH ST SW STE 3
Mailing Address - Street 2:
Mailing Address - City:VALLEY CITY
Mailing Address - State:ND
Mailing Address - Zip Code:58072-3906
Mailing Address - Country:US
Mailing Address - Phone:701-367-8293
Mailing Address - Fax:
Practice Address - Street 1:575 10TH ST SW STE 3
Practice Address - Street 2:
Practice Address - City:VALLEY CITY
Practice Address - State:ND
Practice Address - Zip Code:58072-3906
Practice Address - Country:US
Practice Address - Phone:701-840-6484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty