Healthcare Provider Details

I. General information

NPI: 1225079429
Provider Name (Legal Business Name): LINDA BARONE LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 11/27/2023
Certification Date: 06/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HERITAGE WAY
KALISPELL MT
59901-3146
US

IV. Provider business mailing address

200 HERITAGE WAY
KALISPELL MT
59901-3146
US

V. Phone/Fax

Practice location:
  • Phone: 406-756-3950
  • Fax: 406-756-3957
Mailing address:
  • Phone: 406-756-3950
  • Fax: 406-756-3957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1021LCPC
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC1021
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: