Healthcare Provider Details

I. General information

NPI: 1265888028
Provider Name (Legal Business Name): ASHLEE ROSE KINDT LAC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E MERCURY ST
BUTTE MT
59701-1911
US

IV. Provider business mailing address

1814 BANKS AVE
BUTTE MT
59701-5724
US

V. Phone/Fax

Practice location:
  • Phone: 406-496-5409
  • Fax:
Mailing address:
  • Phone: 406-221-6217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberBBH-LAC-LIC-19526
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCPC-LIC-57400
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: