Provider Demographics
NPI:1770623936
Name:DONE, BETH ELLEN (MS, LAC)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ELLEN
Last Name:DONE
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:MRS
Other - First Name:BETH
Other - Middle Name:ELLEN
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:103 BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-2816
Mailing Address - Country:US
Mailing Address - Phone:406-375-1717
Mailing Address - Fax:406-375-1718
Practice Address - Street 1:103 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-2816
Practice Address - Country:US
Practice Address - Phone:406-375-1717
Practice Address - Fax:406-375-1718
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT101Y00000X
MT973101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0257205Medicaid
MT761060OtherBCBS CHIP