Provider Demographics
NPI:1487540720
Name:LEAD CHANGES RECOVERY & EQUINE THERAPY CENTER LLC
Entity type:Organization
Organization Name:LEAD CHANGES RECOVERY & EQUINE THERAPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:HOAGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MAB, LAC, SAP
Authorized Official - Phone:406-939-1263
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:GLENDIVE
Mailing Address - State:MT
Mailing Address - Zip Code:59330-0095
Mailing Address - Country:US
Mailing Address - Phone:406-939-1263
Mailing Address - Fax:
Practice Address - Street 1:122 ROAD 238
Practice Address - Street 2:
Practice Address - City:GLENDIVE
Practice Address - State:MT
Practice Address - Zip Code:59330-9432
Practice Address - Country:US
Practice Address - Phone:406-939-1263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty