Healthcare Provider Details

I. General information

NPI: 1083865851
Provider Name (Legal Business Name): ASHLEY E GILLESPIE LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2008
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 187
STEVENSVILLE MT
59870-0187
US

IV. Provider business mailing address

PO BOX 187
STEVENSVILLE MT
59870-0187
US

V. Phone/Fax

Practice location:
  • Phone: 406-777-2494
  • Fax: 406-777-2495
Mailing address:
  • Phone: 406-777-2494
  • Fax: 406-777-2495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCPC-LIC-4360
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: