Provider Demographics
NPI:1619714854
Name:LAMACH, KATHRYN AMDAHL (LCSW)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:AMDAHL
Last Name:LAMACH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:LAMACH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 9706
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-9706
Mailing Address - Country:US
Mailing Address - Phone:406-461-4880
Mailing Address - Fax:
Practice Address - Street 1:8185 OWL CT
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-8341
Practice Address - Country:US
Practice Address - Phone:406-461-4880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-721051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical