Provider Demographics
NPI:1306233978
Name:CARBON COUNTY COUNSELING, LLC.
Entity type:Organization
Organization Name:CARBON COUNTY COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMILLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LAC
Authorized Official - Phone:307-254-1364
Mailing Address - Street 1:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:BRIDGER
Mailing Address - State:MT
Mailing Address - Zip Code:59014-0033
Mailing Address - Country:US
Mailing Address - Phone:307-254-1364
Mailing Address - Fax:
Practice Address - Street 1:107 N MAIN ST
Practice Address - Street 2:UNIT 6
Practice Address - City:BRIDGER
Practice Address - State:MT
Practice Address - Zip Code:59014-7708
Practice Address - Country:US
Practice Address - Phone:307-254-1364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty