Jean D Ballou Pc

LBN: Jean D Ballou Pc
Jean D Ballou Pc is an health care organization with primary practice located at 210 N Higgins Ave Ste 314 , Missoula MT 59802-4443. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jean D Ballou Pc can be contacted via phone (406) 543-9566, or through Ballou, Jean D via phone (406) 543-9566.

Contact Information

Primary practice address
210 N Higgins Ave Ste 314 Missoula MT 59802-4443
Phone: (406) 543-9566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ballou, Jean D Licensed Clinical Social Worker (LCSW)
Phone: (406) 543-9566

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 27LCSW Montana

Profile Details

NPI number 1578834586
LBN Legal business name Jean D Ballou Pc
DBA Doing business as
Authorized official Ballou, Jean D Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2012
Last updated Jul 2nd, 2015 - about 10 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 1578834586 NPPES
Montana MEDICAID 0503295
Montana Other 0000071350

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