Provider Demographics
NPI:1932511052
Name:HOUGARDY, ALICE (LCPC)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:HOUGARDY
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 1:100 N CUSTER AVE
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-3708
Mailing Address - Country:US
Mailing Address - Phone:406-853-5822
Mailing Address - Fax:406-853-5823
Practice Address - Street 1:519 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-2726
Practice Address - Country:US
Practice Address - Phone:406-853-5822
Practice Address - Fax:406-853-5823
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1197101YA0400X
MT42772101YM0800X
MT1372101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health