Michelle R Moles, LCSW, Lac, LLC

Organization Active NPI Clinical Social Worker · Missoula, MT

NPI 1821710344 · NPPES record last updated Sep 12, 2022

Key facts

NPI
1821710344
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
MICHELLE R MOLES, LCSW, LAC, LLC
Practice address
800 Kensington Ave Ste 211B
Missoula, MT 59801-5670
Phone
(406) 529-3629
Fax
(406) 830-3186
NPI assigned
Sep 12, 2022
Organization subpart
No

Authorized official

Name
Michelle R Moles, LCSW, LAC
Title
Counselor
Phone
(406) 529-3629

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

800 Kensington Ave
Ste 211B
Missoula, MT 59801
Phone (406) 396-2975

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

800 Kensington Ave Ste 211B
Missoula, MT 59801-5670

Mailing address

800 Kensington Ave Ste 211B
Missoula, MT 59801-5670
Phone (406) 529-3629

Other providers in Missoula, MT

All providers in Missoula, MT · Clinical Social Worker in Montana

Sources for this page

Verify at the official NPI Registry.