Provider Demographics
NPI:1891133880
Name:SEARS, LANDY L (LPC)
Entity type:Individual
Prefix:
First Name:LANDY
Middle Name:L
Last Name:SEARS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:LANDY
Other - Middle Name:LEE
Other - Last Name:SEARS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC, LAC
Mailing Address - Street 1:704 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0913
Mailing Address - Country:US
Mailing Address - Phone:406-259-8800
Mailing Address - Fax:406-259-4400
Practice Address - Street 1:704 N 30TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0913
Practice Address - Country:US
Practice Address - Phone:406-259-8800
Practice Address - Fax:406-259-4400
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1415101YA0400X
COLPC.0019728101YP2500X
MT13859101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1891133880Medicaid
MT1891133880OtherBLUE CROSS BLUE SHIELD