Provider Demographics
NPI:1831765643
Name:LORANG, AMY (LCPC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:LORANG
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 1:210 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711-2915
Mailing Address - Country:US
Mailing Address - Phone:406-200-8068
Mailing Address - Fax:
Practice Address - Street 1:118 E 7TH ST STE 2D
Practice Address - Street 2:
Practice Address - City:ANACONDA
Practice Address - State:MT
Practice Address - Zip Code:59711-2913
Practice Address - Country:US
Practice Address - Phone:406-200-8068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LPPC-LIC-48099101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health