Provider Demographics
NPI:1376682351
Name:FLEMING, STANLEY HOUSTON (LCPC)
Entity Type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:HOUSTON
Last Name:FLEMING
Suffix:
Gender:M
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:PO BOX 503
Mailing Address - Street 2:
Mailing Address - City:RONA
Mailing Address - State:MT
Mailing Address - Zip Code:59864-0503
Mailing Address - Country:US
Mailing Address - Phone:406-676-4932
Mailing Address - Fax:
Practice Address - Street 1:30 ROUND BUTTE ROAD WEST
Practice Address - Street 2:
Practice Address - City:RONAN
Practice Address - State:MT
Practice Address - Zip Code:59864
Practice Address - Country:US
Practice Address - Phone:406-676-4932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT341101YM0800X
MT40432103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool