Provider Demographics
NPI:1992280416
Name:POGHOSYAN, ASTGHIK (LCPC)
Entity type:Individual
Prefix:
First Name:ASTGHIK
Middle Name:
Last Name:POGHOSYAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:ASTGHIK
Other - Middle Name:
Other - Last Name:POGHOSYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2900 12TH AVE N STE 280W
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7516
Mailing Address - Country:US
Mailing Address - Phone:406-237-3585
Mailing Address - Fax:406-237-3586
Practice Address - Street 1:2900 12TH AVE N STE 280W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7516
Practice Address - Country:US
Practice Address - Phone:406-237-3585
Practice Address - Fax:406-237-3586
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YM0800X
MT17902101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor