Provider Demographics
NPI:1174074082
Name:NEWBY, PATRICK JOSEPH (LCPC)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:JOSEPH
Last Name:NEWBY
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 GREAT NORTHERN BLVD STE 322
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3340
Mailing Address - Country:US
Mailing Address - Phone:406-442-8920
Mailing Address - Fax:
Practice Address - Street 1:825 GREAT NORTHERN BLVD STE 322
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3340
Practice Address - Country:US
Practice Address - Phone:406-442-8920
Practice Address - Fax:866-339-5616
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-19348101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional