Provider Demographics
NPI:1487368551
Name:VAST SKY COUNSELING, LLC
Entity type:Organization
Organization Name:VAST SKY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:TROST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-544-9937
Mailing Address - Street 1:2308 RAYMOND AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-3510
Mailing Address - Country:US
Mailing Address - Phone:406-370-4140
Mailing Address - Fax:
Practice Address - Street 1:210 E PINE ST STE 200
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4533
Practice Address - Country:US
Practice Address - Phone:406-544-9937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty