Healthcare Provider Details

I. General information

NPI: 1366251209
Provider Name (Legal Business Name): STEPHANIE VOISINE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 DALY AVE
HAMILTON MT
59840-2828
US

IV. Provider business mailing address

88 W CHAFFIN RD
CORVALLIS MT
59828-9586
US

V. Phone/Fax

Practice location:
  • Phone: 406-361-1829
  • Fax:
Mailing address:
  • Phone: 406-361-1829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-LCSW-LIC-88736
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: