Healthcare Provider Details

I. General information

NPI: 1962561498
Provider Name (Legal Business Name): STEVEN R. BIONDICH LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 10/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 LAKE ELMO DR
BILLINGS MT
59105-3051
US

IV. Provider business mailing address

1197 CORTEZ AVE
BILLINGS MT
59105-5432
US

V. Phone/Fax

Practice location:
  • Phone: 406-200-7406
  • Fax: 406-200-7437
Mailing address:
  • Phone: 406-200-7406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number259
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: