| Angelia R Mathias Llc | |
|
119200 Battle Ridge Rd Butte MT 59750-9734 | |
| (406) 498-9640 | |
| Not Available |
| Full Name | Angelia R Mathias Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 119200 Battle Ridge Rd, Butte, Montana |
| Authorized Official Name and Position | Angelia R Mathias (OWNER) |
| Authorized Official Contact | 4064989640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angelia R Mathias Llc 119200 Battle Ridge Rd Butte MT 59750-9734 Ph: (406) 498-9640 | Angelia R Mathias Llc 119200 Battle Ridge Rd Butte MT 59750-9734 Ph: (406) 498-9640 |
| NPI Number | 1871204149 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871204149 | NPI | - | NPPES |
| 1295183952 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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