Healthcare Provider Details

I. General information

NPI: 1568160661
Provider Name (Legal Business Name): KRISTI DEANN LINDELL-ELLIOTT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 AVENUE D STE A
BILLINGS MT
59102-3043
US

IV. Provider business mailing address

2224 US HIGHWAY 87 E TRLR 187
BILLINGS MT
59101-6609
US

V. Phone/Fax

Practice location:
  • Phone: 406-696-7079
  • Fax:
Mailing address:
  • Phone: 406-696-7079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-LCSW-LIC-62453
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: