| Lisa Talcott | |
|
319 N Main St Livingston MT 59047-2016 | |
| (406) 224-1455 | |
| Not Available |
| Full Name | Lisa Talcott |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 319 N Main St, Livingston, Montana |
| Authorized Official Name and Position | Lisa Talcott (CEO) |
| Authorized Official Contact | 4062241455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Talcott 410 S. 11th St Livingston MT 59047 Ph: (406) 224-1455 | Lisa Talcott 319 N Main St Livingston MT 59047-2016 Ph: (406) 224-1455 |
| NPI Number | 1972099752 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 07/07/2021 |
| Certification Date | 07/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972099752 | NPI | - | NPPES |
| 0558790 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW708 (Montana) | Primary |
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