Provider Demographics
NPI:1467002238
Name:SIMPSON, LONDA FAYE (LCPC)
Entity Type:Individual
Prefix:
First Name:LONDA
Middle Name:FAYE
Last Name:SIMPSON
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 1:3123 8TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-3939
Mailing Address - Country:US
Mailing Address - Phone:406-247-0140
Mailing Address - Fax:406-259-4638
Practice Address - Street 1:3123 8TH AVE S
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-3939
Practice Address - Country:US
Practice Address - Phone:406-247-0140
Practice Address - Fax:406-259-4638
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-38832101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTBBH-LCPC-LIC-38832OtherSTATE OF MONTANA