Provider Demographics
NPI:1558678391
Name:CROWE, KATIE (LPC, M OF COUN)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:CROWE
Suffix:
Gender:F
Credentials:LPC, M OF COUN
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:HURSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, NCC, M OF COUN
Mailing Address - Street 1:3115 NETTIE ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-6529
Mailing Address - Country:US
Mailing Address - Phone:406-491-1216
Mailing Address - Fax:
Practice Address - Street 1:27 W PARK ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1722
Practice Address - Country:US
Practice Address - Phone:406-491-1216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-4564101YM0800X
WYLPC-1319101YP2500X
MTBBH-LCPC-LIC-23242101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional