Provider Demographics
NPI:1174984736
Name:CATALYST COUNSELING, PLLC
Entity type:Organization
Organization Name:CATALYST COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ERDELYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-207-1068
Mailing Address - Street 1:PO BOX 17213
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-7213
Mailing Address - Country:US
Mailing Address - Phone:406-207-1068
Mailing Address - Fax:
Practice Address - Street 1:1119 W KENT AVE STE K
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-6687
Practice Address - Country:US
Practice Address - Phone:406-207-1068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty