Agne, Roula
Agne, Roula is an sole proprietor health care provider with primary practice located at 415 N Higgins Ave , Missoula MT 59802-4557. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Agne, Roula can be contacted via phone (406) 531-2416.Contact Information
Primary practice address
415 N Higgins Ave
Missoula MT 59802-4557
Phone: (406) 531-2416
Fax: (855) 201-3734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4642 | Montana |
Profile Details
| NPI number | 1285057232 |
|---|---|
| LBN Legal business name | Agne, Roula |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2014 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285057232 | NPPES |
| Montana | MEDICAID | 1285057232 |
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