| Poppy And Sage Counseling Pllc | |
|
2713 Oshaughnesy St Missoula MT 59808-1329 | |
| (469) 630-1615 | |
| Not Available |
| Full Name | Poppy And Sage Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2713 Oshaughnesy St, Missoula, Montana |
| Authorized Official Name and Position | Shannon R Lollar (OWNER AND THERAPIST) |
| Authorized Official Contact | 3614460602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poppy And Sage Counseling Pllc Po Box 18281 Missoula MT 59808-8281 Ph: (469) 630-1615 | Poppy And Sage Counseling Pllc 2713 Oshaughnesy St Missoula MT 59808-1329 Ph: (469) 630-1615 |
| NPI Number | 1548077332 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548077332 | NPI | - | NPPES |
| 1386323681 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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