Provider Demographics
NPI:1598597841
Name:VALNES-MELBY, AMANDA EVELYN (LAC, PCLC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:EVELYN
Last Name:VALNES-MELBY
Suffix:
Gender:F
Credentials:LAC, PCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 GRIZZLY TRL
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MT
Mailing Address - Zip Code:59044-9435
Mailing Address - Country:US
Mailing Address - Phone:406-223-6827
Mailing Address - Fax:406-919-4044
Practice Address - Street 1:100 N 27TH ST STE 510
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2054
Practice Address - Country:US
Practice Address - Phone:406-223-6827
Practice Address - Fax:406-919-4044
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-PCLC-LIC-70095101YM0800X
MTBBH-LAC-LIC-70457101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health