Organization
BIG SKY MENTAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR P. LAVIN APRN, BC, CNS (MEMBER)
(406) 234-7890
Entity
Organization
Contact information
Practice address
2000 CLARK ST., MILES CITY, MT 59301-2726
(406) 234-7890
Mailing address
PO BOX 1531, MILES CITY, MT 59301
(406) 234-7890
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12752
MT
Other
Enumeration date
01/22/2015
Last updated
02/01/2015
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