Provider Demographics
NPI:1255100475
Name:VIROSTKO, LYON ANTHONY (LCPC)
Entity type:Individual
Prefix:MR
First Name:LYON
Middle Name:ANTHONY
Last Name:VIROSTKO
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 PINE ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0530
Mailing Address - Country:US
Mailing Address - Phone:406-208-5449
Mailing Address - Fax:
Practice Address - Street 1:1925 GRAND AVE STE 116
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-2762
Practice Address - Country:US
Practice Address - Phone:406-647-0234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-64914101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional