Organization
BOULE SOPHIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA ANNE WEBER LCSW (OWNER/PROVIDER)
(406) 491-2898
Entity
Organization
Contact information
Practice address
41582 BAYPOINT RD, POLSON, MT 59860-8584
(406) 491-2898
Mailing address
PO BOX 1642, POLSON, MT 59860-1642
(406) 491-2898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200619724101
DRIVERS LICENSE
MT
Enumeration date
12/09/2020
Last updated
02/19/2026
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