Healthcare Provider Details

I. General information

NPI: 1093229221
Provider Name (Legal Business Name): VERONICA BLANTON LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2017
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3687 VETERANS DR
FORT HARRISON MT
59636-9700
US

IV. Provider business mailing address

3687 VETERANS DR
FORT HARRISON MT
59636-9700
US

V. Phone/Fax

Practice location:
  • Phone: 406-447-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberBBH-SWLC-LIC-80933
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: