Provider Demographics
NPI:1194492041
Name:REED, GEORGE BENEDICT
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:BENEDICT
Last Name:REED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 CENTRAL AVE APT 207
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4650
Mailing Address - Country:US
Mailing Address - Phone:406-679-6121
Mailing Address - Fax:
Practice Address - Street 1:1230 NORTH 30TH
Practice Address - Street 2:SWEET 100
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-534-4558
Practice Address - Fax:406-290-7450
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-ACLC-LIC-55653101YA0400X
MTBBH-BHPS-CRT-50097175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No175T00000XOther Service ProvidersPeer Specialist