Healthcare Provider Details

I. General information

NPI: 1265150874
Provider Name (Legal Business Name): RISHAY LYN WATSON LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 08/19/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S 72ND ST W
BILLINGS MT
59106-3538
US

IV. Provider business mailing address

1780 YBGR LN
BILLINGS MT
59106-3507
US

V. Phone/Fax

Practice location:
  • Phone: 406-655-2100
  • Fax: 406-651-2781
Mailing address:
  • Phone: 406-672-3499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number57136
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: