Organization
YOUTH DYNAMICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE FALCON (BUSINESS MANAGER)
(406) 245-6539
Entity
Organization
Contact information
Practice address
2334 LEWIS AVE, BILLINGS, MT 59102-3927
(406) 245-6539
(406) 245-3192
Mailing address
2334 LEWIS AVE, BILLINGS, MT 59102-3927
(406) 245-6539
(406) 245-3192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10890
MT
101YP2500X
Professional Counselor
Primary
10890
MT
1041C0700X
Clinical Social Worker
10890
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255493
—
MT
05
—
0502401
—
MT
Enumeration date
04/25/2007
Last updated
07/16/2024
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