Organization
ENLIGHTENING MINDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA DAVENPORT LAC, LCPC (CEO)
(406) 315-2227
Entity
Organization
Contact information
Practice address
600 CENTRAL AVE STE 408, GREAT FALLS, MT 59401-3141
(406) 315-2227
(406) 315-2227
Mailing address
600 CENTRAL AVE STE 408, GREAT FALLS, MT 59401-3141
(406) 315-2227
(406) 315-2227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972018216
—
MT
Enumeration date
09/26/2019
Last updated
01/10/2020
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