Provider Demographics
NPI:1497946289
Name:RODI, LYNETTE (LCPC, LAC)
Entity Type:Individual
Prefix:
First Name:LYNETTE
Middle Name:
Last Name:RODI
Suffix:
Gender:F
Credentials:LCPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W PARK ST STE 215
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-2628
Mailing Address - Country:US
Mailing Address - Phone:406-223-6459
Mailing Address - Fax:406-222-6459
Practice Address - Street 1:201 W PARK ST STE 215
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-2628
Practice Address - Country:US
Practice Address - Phone:406-223-6459
Practice Address - Fax:406-222-6459
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT967101YA0400X
MT1101101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)