Organization
L ESPRIT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTELLE PLAUCHE (ADMINISTRATOR)
(406) 223-3621
Entity
Organization
Contact information
Practice address
120 S MAIN ST, LIVINGSTON, MT 59047-2624
(406) 223-3621
Mailing address
111 N 3RD ST STE 1, LIVINGSTON, MT 59047-2645
(406) 223-3621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
13496
MT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
13496
MT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194107003
—
MT
05
—
7176890
—
MT
Enumeration date
06/27/2015
Last updated
12/20/2024
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