Healthcare Provider Details

I. General information

NPI: 1316450729
Provider Name (Legal Business Name): TASHA HOULIHAN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2017
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2832 BROADWATER AVE
BILLINGS MT
59102-4518
US

IV. Provider business mailing address

1900 SLIGO LN
BILLINGS MT
59106-3681
US

V. Phone/Fax

Practice location:
  • Phone: 406-861-5668
  • Fax:
Mailing address:
  • Phone: 406-861-5668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberBBH-LCPC-LIC-43377
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: