Provider Demographics
NPI:1588858476
Name:STONE, ELIZABETH MUHS (LCPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MUHS
Last Name:STONE
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 1:117 1/2 W PARK ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-2600
Mailing Address - Country:US
Mailing Address - Phone:406-220-0899
Mailing Address - Fax:
Practice Address - Street 1:117 1/2 W PARK ST
Practice Address - Street 2:SUITE 5
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-2600
Practice Address - Country:US
Practice Address - Phone:406-220-0899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT593101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT254072Medicaid