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Organization
GUIDED HEALING TRAILS LLC
Active
Organization
GUIDED HEALING TRAILS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH BRENT SUCHANIC LMFT, LCPC (FAMILY THERAPIST/OWNER)
(406) 540-4120
Entity
Organization
Contact information
Practice address
913 SW HIGGINS AVE STE 201, MISSOULA, MT 59803-1423
(406) 540-4120
(406) 540-4160
Mailing address
500 N HIGGINS AVE STE 107, MISSOULA, MT 59802-4550
(406) 540-4120
(406) 540-4160
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/17/2019
Last updated
09/07/2023
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