Provider Demographics
NPI:1558631192
Name:BILLINGS, ELIZABETH JEANNE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:JEANNE
Last Name:BILLINGS
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 1:285 MT HIGHWAY 55
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:MT
Mailing Address - Zip Code:59759-9736
Mailing Address - Country:US
Mailing Address - Phone:406-490-1279
Mailing Address - Fax:
Practice Address - Street 1:305 W MERCURY ST
Practice Address - Street 2:#410
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1659
Practice Address - Country:US
Practice Address - Phone:406-490-1279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-11
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1518-LCPC101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1558631192Medicaid
MT747340OtherBLUE CROSS BLUE SHIELD