Provider Demographics
NPI:1619380763
Name:STUART, APRIL (LAC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:STUART
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 S MAIN ST # 211
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-2664
Mailing Address - Country:US
Mailing Address - Phone:406-498-8891
Mailing Address - Fax:
Practice Address - Street 1:124 S MAIN ST # 211
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-2664
Practice Address - Country:US
Practice Address - Phone:406-498-8891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLAC-LAC-LIC-3636101YA0400X
MTBBH-LCPC-LIC-25799101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)