Provider Demographics
NPI:1700116258
Name:BEATTY, JULAINE RENEE (LCSW, LAC)
Entity Type:Individual
Prefix:MS
First Name:JULAINE
Middle Name:RENEE
Last Name:BEATTY
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 11TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4808
Mailing Address - Country:US
Mailing Address - Phone:406-996-1073
Mailing Address - Fax:
Practice Address - Street 1:2001 11TH AVE STE 3
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4808
Practice Address - Country:US
Practice Address - Phone:406-996-1073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1279101YA0400X
MT176381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)