Provider Demographics
NPI:1194005868
Name:GEER, MISTY (LCPC, LAC)
Entity type:Individual
Prefix:
First Name:MISTY
Middle Name:
Last Name:GEER
Suffix:
Gender:F
Credentials:LCPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2443
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-2443
Mailing Address - Country:US
Mailing Address - Phone:406-262-4357
Mailing Address - Fax:
Practice Address - Street 1:306 3RD AVE STE 203
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-3536
Practice Address - Country:US
Practice Address - Phone:406-262-4357
Practice Address - Fax:406-262-0511
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT22927101YA0400X
MT1584101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1477745370Medicaid