Organization
MELODY BARNES, LCSW LAC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELODY L BARNES LCSW LAC (PROVIDER / OWNER)
(406) 926-6360
Entity
Organization
Contact information
Practice address
127 N. HIGGINS, SUITE 302, MISSOULA, MT 59802-4457
(406) 926-6360
(406) 721-6901
Mailing address
PO BOX 4901, MISSOULA, MT 59806-4901
(406) 926-6360
(406) 721-6901
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
423
MT
1041C0700X
Clinical Social Worker
Primary
699
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000503737
—
MT
05
—
0138957
—
MT
01
—
071195
BLUE CROSS OF MONTANA
MT
Enumeration date
09/04/2009
Last updated
10/05/2016
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