MEDICARE: LLOYAL J KLINE LCPC, LMFT, LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	1224	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0000743100	OTHER	MT	BLUE CROSS/SHIELD OF MONT

General Provider Information

NPI Number	:	1013927433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LLOYAL J KLINE LCPC, LMFT, LAC

Provider Business Mailing Address
First Line	:	4123 4TH AVE S
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-3721
Country	:	US
Telephone Number	:	406-231-8995
Fax Number	:	877-782-7316

Provider Business Practice Location Address
First Line	:	1601 2ND AVE N
Second Line	:	SUITE 400
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3259
Country	:	US
Telephone Number	:	406-231-8995
Fax Number	:	877-782-7316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	03/15/2016

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