Lori Lee Badgley, LCPC, LAC

Individual provider Active NPI Professional Counselor · Great Falls, MT

NPI 1356776629 · NPPES record last updated Sep 5, 2013

Key facts

NPI
1356776629
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
4463-LCPC (MT)
Practice address
500 15TH Ave S
Great Falls, MT 59405-4304
Phone
(406) 455-2367
Fax
(406) 455-2373
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1397MTMDProfessional Counselor
4463-LCPCMTMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1397 MT
Professional Counselor 101YP2500X 4463-LCPC MT Yes

Addresses

Primary practice location

500 15TH Ave S
Great Falls, MT 59405-4304

Mailing address

500 15TH Ave S
Great Falls, MT 59405-4304
Phone (406) 455-2367

Other providers in Great Falls, MT

All providers in Great Falls, MT · Professional Counselor in Montana

Sources for this page

Verify at the official NPI Registry.