# BODHI TREE COUNSELING, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265094601
- **Authorized official:** NATHAN LEE CHURCH LCSW, LAC (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (406) 694-5000

## Contact information

- **Practice address:** 527 LAKE ELMO DR, BILLINGS, MT 59105-3051
- **Practice address phone:** (406) 694-5000
- **Practice address fax:** (406) 245-1156
- **Mailing address:** 540 JEMSTONE DR, BILLINGS, MT 59101-6854
- **Mailing address phone:** (406) 694-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2019
- **Last updated:** 04/16/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1265094601 | — | MT |