O Brien, Lisa Camille
O Brien, Lisa Camille is an individual health care provider with primary practice located at 3000 15Th Avenue South , Great Falls MT 59405. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. O Brien, Lisa Camille can be contacted via phone (406) 454-2171.Contact Information
Primary practice address
3000 15Th Avenue South
Great Falls MT 59405
Phone: (406) 454-2171
Fax: (406) 771-3021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 712 | Montana |
Profile Details
| NPI number | 1134280100 |
|---|---|
| LBN Legal business name | O Brien, Lisa Camille |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1134280100 | NPPES |
| Montana | MEDICAID | 0503778 |
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