Provider Demographics
NPI:1245775238
Name:LEINART-MURCH, PEGGY LAURENE (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:LAURENE
Last Name:LEINART-MURCH
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2334 LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3927
Mailing Address - Country:US
Mailing Address - Phone:406-606-2122
Mailing Address - Fax:406-245-9647
Practice Address - Street 1:421 OLIVE DR
Practice Address - Street 2:
Practice Address - City:COLSTRIP
Practice Address - State:MT
Practice Address - Zip Code:59323-9506
Practice Address - Country:US
Practice Address - Phone:406-748-3084
Practice Address - Fax:406-748-3100
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-22239101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health