Provider Demographics
NPI:1245975895
Name:DEVLIN, SIRI (LCPC)
Entity type:Individual
Prefix:
First Name:SIRI
Middle Name:
Last Name:DEVLIN
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 1:1695 TSCHACHE LN
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-2142
Mailing Address - Country:US
Mailing Address - Phone:406-585-1360
Mailing Address - Fax:
Practice Address - Street 1:1695 TSCHACHE LN
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-2142
Practice Address - Country:US
Practice Address - Phone:406-585-1360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-70116101YM0800X
MTBBH-MFLC-LIC-55294106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist