Provider Demographics
NPI:1821355728
Name:MORRISON, AMANDA BEEDY (LAC, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:BEEDY
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LAC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:MT
Mailing Address - Zip Code:59729-0102
Mailing Address - Country:US
Mailing Address - Phone:406-579-2341
Mailing Address - Fax:
Practice Address - Street 1:222 E MAIN ST STE 2C
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:MT
Practice Address - Zip Code:59729-9230
Practice Address - Country:US
Practice Address - Phone:406-579-2341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1363261QR0405X
MT4239101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder