Provider Demographics
NPI:1114804309
Name:BUFFALO RIDGE COUNSELING LLC
Entity type:Organization
Organization Name:BUFFALO RIDGE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:BELL
Authorized Official - Last Name:BLEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:918-809-1406
Mailing Address - Street 1:104 N 28TH ST UNIT 302
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-2073
Mailing Address - Country:US
Mailing Address - Phone:918-809-1406
Mailing Address - Fax:
Practice Address - Street 1:2619 SAINT JOHNS AVE STE F
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4690
Practice Address - Country:US
Practice Address - Phone:918-809-1406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health