Healthcare Provider Details
I. General information
NPI: 1285573394
Provider Name (Legal Business Name): KIM C WALDMANN LCPC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
710 GRAND AVE STE 7
BILLINGS MT
59101-5852
US
IV. Provider business mailing address
PO BOX 50186
BILLINGS MT
59105-0186
US
V. Phone/Fax
- Phone: 406-371-3399
- Fax:
- Phone: 406-371-3399
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIM
WALDMANN
Title or Position: OWNER
Credential: LCPC
Phone: 406-371-3399