Provider Demographics
NPI:1013927433
Name:KLINE, LLOYAL J (LCPC, LMFT, LAC)
Entity Type:Individual
Prefix:
First Name:LLOYAL
Middle Name:J
Last Name:KLINE
Suffix:
Gender:F
Credentials:LCPC, LMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4123 4TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-3721
Mailing Address - Country:US
Mailing Address - Phone:406-231-8995
Mailing Address - Fax:877-782-7316
Practice Address - Street 1:1601 2ND AVE N
Practice Address - Street 2:SUITE 400
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3259
Practice Address - Country:US
Practice Address - Phone:406-231-8995
Practice Address - Fax:877-782-7316
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT101YP2500XMedicaid
MT0000743100OtherBLUE CROSS/SHIELD OF MONT