Boule Sophia Llc

LBN: Boule Sophia Llc
Boule Sophia Llc is an health care organization with primary practice located at 41582 Baypoint Rd , Polson MT 59860-8584. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Boule Sophia Llc can be contacted via phone (406) 491-2898, or through Weber, Erika Anne via phone (406) 491-2898.

Contact Information

Primary practice address
41582 Baypoint Rd Polson MT 59860-8584
Phone: (406) 491-2898
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weber, Erika Anne Licensed Clinical Social Worker (LCSW)
Phone: (406) 491-2898

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1881290302
LBN Legal business name Boule Sophia Llc
DBA Doing business as
Authorized official Weber, Erika Anne Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2020
Last updated Dec 9th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881290302 NPPES
Montana Other 1200619724101 DRIVERS LICENSE

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