Provider Demographics
NPI:1366265738
Name:KRISTIN R BAUWENS
Entity type:Organization
Organization Name:KRISTIN R BAUWENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-671-3519
Mailing Address - Street 1:560 JOLIET FROMBERG RD
Mailing Address - Street 2:
Mailing Address - City:FROMBERG
Mailing Address - State:MT
Mailing Address - Zip Code:59029-9501
Mailing Address - Country:US
Mailing Address - Phone:406-671-3519
Mailing Address - Fax:
Practice Address - Street 1:560 JOLIET FROMBERG RD
Practice Address - Street 2:
Practice Address - City:FROMBERG
Practice Address - State:MT
Practice Address - Zip Code:59029-9501
Practice Address - Country:US
Practice Address - Phone:406-671-3519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty