| Leigh Fahlquist, Llc | |
|
1159 Toucan Rd. Helena MT 59602 | |
| (406) 465-1276 | |
| Not Available |
| Full Name | Leigh Fahlquist, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1159 Toucan Rd., Helena, Montana |
| Authorized Official Name and Position | Leigh Tabor Fahlquist (OWNER) |
| Authorized Official Contact | 4064651276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leigh Fahlquist, Llc Po Box 9717 Helena MT 59604-9717 Ph: (406) 465-1276 | Leigh Fahlquist, Llc 1159 Toucan Rd. Helena MT 59602 Ph: (406) 465-1276 |
| NPI Number | 1568837730 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568837730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1005 (Montana) | Primary |
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