MS. LISA RAE ANDERSON MANGAN LCPC NPI 1699772079

NPI Information

NPI: 1699772079
Provider Name: MS. LISA RAE ANDERSON MANGAN, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
120 23RD AVE NE
GREAT FALLS, MT
ZIP 59404
Phone: (406) 453-6784
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MS. Lisa Rae Anderson Mangan, LCPC is a professional counselor in Great Falls, MT. MS. Lisa Rae Anderson Mangan, LCPC NPI is 1699772079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 23RD AVE NE
GREAT FALLS, MT
ZIP 59404-445
Phone: (406) 453-6784
Fax: (406) 453-6793

The enumeration date for this NPI number is 6/30/2005 and was last updated on 4/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LCPC 762	MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0252331	MEDICAID	MONTANA
2	810519345	OTHER	MONTANA	FEDERAL TAX ID NUMBER
3	074938	OTHER	MONTANA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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