Provider Demographics
NPI:1366282113
Name:ONYX COUNSELING & CONSULTATION
Entity type:Organization
Organization Name:ONYX COUNSELING & CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-201-9414
Mailing Address - Street 1:1720 10TH AVE S
Mailing Address - Street 2:SUITE 4 PMB 109
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-2680
Mailing Address - Country:US
Mailing Address - Phone:406-201-9414
Mailing Address - Fax:
Practice Address - Street 1:19 4TH AVE SW STE 3
Practice Address - Street 2:
Practice Address - City:CONRAD
Practice Address - State:MT
Practice Address - Zip Code:59425-2339
Practice Address - Country:US
Practice Address - Phone:406-201-9414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty