Provider Demographics
NPI:1730058967
Name:BELICE, TAMMY MARIE (LCPC)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:MARIE
Last Name:BELICE
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 1:15 AMBER LN
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725-9400
Mailing Address - Country:US
Mailing Address - Phone:406-596-4648
Mailing Address - Fax:406-683-9700
Practice Address - Street 1:330 S IDAHO ST
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-2524
Practice Address - Country:US
Practice Address - Phone:406-596-4648
Practice Address - Fax:406-683-9700
Is Sole Proprietor?:No
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-81839101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional