| Sage Psychotherapy, Pllc | |
|
126 E Broadway St Ste 11 Missoula MT 59802-4566 | |
| (406) 471-8869 | |
| Not Available |
| Full Name | Sage Psychotherapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 126 E Broadway St Ste 11, Missoula, Montana |
| Authorized Official Name and Position | Paisley L. Miles (THERAPIST) |
| Authorized Official Contact | 4062072680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Psychotherapy, Pllc Po Box 16952 Missoula MT 59808-6952 Ph: (406) 471-8869 | Sage Psychotherapy, Pllc 126 E Broadway St Ste 11 Missoula MT 59802-4566 Ph: (406) 471-8869 |
| NPI Number | 1023673035 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 10/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023673035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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