Provider Demographics
NPI:1740958339
Name:SOCHOR, LISA (LCPC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:SOCHOR
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 1:2504 W MAIN ST STE 2C
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-4073
Mailing Address - Country:US
Mailing Address - Phone:406-624-9876
Mailing Address - Fax:
Practice Address - Street 1:94 PONY RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-8949
Practice Address - Country:US
Practice Address - Phone:406-624-9876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-58898101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health