MICHELLE MOLES LCSW LAC (NPI# 1134641640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134641640 |
| Entity Type | Organization |
| Organization Name | MICHELLE MOLES LCSW LAC |
| Practice Address |
101 E Broadway St Ste 602 Missoula MT 59802-4594 |
| Practice Telephone | (406) 529-9362 |
| Mailing Telephone | 4065299362 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Authorized Official Name | MS. MICHELLE R MOLES (COUNSELOR) |
| Authorized Official Telephone | 4065293629 |
| Authorized Official Credential | LCSW, LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 1252 | MT | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 16133 | MT | Agencies |
| Street Address |
101 E BROADWAY ST STE 602 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114160504 | Kristen Kallemeyn | Community/Behavioral Health | 511 Rollins St, Missoula, MT 59801-3720 | 2009-04-14 |
| 1649390881 | Friends To Youth Inc. | Community/Behavioral Health | 1515 E Broadway St, Missoula, MT 59802-4929 | 2007-03-30 |
| 1912079328 | Western Montana Mental Health Center | Community/Behavioral Health | 1321 Wyoming St, Missoula, MT 59801-1725 | 2006-11-14 |
| 1134757198 | Ideal Balance Pllc | Community/Behavioral Health | 2685 Palmer St Ste D, Missoula, MT 59808-1709 | 2020-03-27 |
| 1205390861 | Larissa Olson, Lcsw Pllc | Community/Behavioral Health | 690 Sw Higgins Ave Ste B, Missoula, MT 59803-1433 | 2019-01-29 |
| 1720569213 | Mitch Guerette Lcsw LLC | Community/Behavioral Health | 1001 Sw Higgins Ave Ste 206, Missoula, MT 59803-1340 | 2018-08-23 |
| 1518409846 | Simply Assessments | Community/Behavioral Health | 2798 Meriwether St, Missoula, MT 59803-2934 | 2016-11-17 |
| 1720539745 | Valeo Behavioral Health, LLC | Community/Behavioral Health | 1600 North Ave W Ste 106, Missoula, MT 59801-5500 | 2016-10-14 |
| 1306393194 | Dana Eisenberg, Lcsw Counseling and Consultation, LLC | Community/Behavioral Health | 528 Cleveland St, Missoula, MT 59801-3743 | 2016-09-08 |
| 1912359639 | Wahlberg Psychology Office, PC | Community/Behavioral Health | 2831 Fort Missoula Rd, Suite 201, Missoula, MT 59804-7419 | 2016-07-06 |
| Find all providers in MISSOULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.