Provider Demographics
NPI:1437868189
Name:CRAIG, MEGHAN CHRISTINE (LADC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:CHRISTINE
Last Name:CRAIG
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:CHRISTINE
Other - Last Name:LIDBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:207 W MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59457-2718
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:112 W LEWIS ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-3066
Practice Address - Country:US
Practice Address - Phone:406-222-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-22
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN306290101YA0400X
MTBBH-LCPC-LIC-72310101YM0800X
MTBBH-LAC-LIC-71150101YA0400X
MN2983101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional