Provider Demographics
NPI:1619635471
Name:LIVERS, ASHLEY E (LCPC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:E
Last Name:LIVERS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 IDAHO ST
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-8580
Mailing Address - Country:US
Mailing Address - Phone:775-901-2045
Mailing Address - Fax:
Practice Address - Street 1:601 NIKLES DR STE 2A&B
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2570
Practice Address - Country:US
Practice Address - Phone:406-219-1206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-5200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health