Provider Demographics
NPI:1174080493
Name:ASHLEY CHAMPAGNE POST, LCSW, PLLC
Entity type:Organization
Organization Name:ASHLEY CHAMPAGNE POST, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAMPAGNE POST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-202-3456
Mailing Address - Street 1:825 HELENA AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3459
Mailing Address - Country:US
Mailing Address - Phone:406-202-3456
Mailing Address - Fax:406-324-7056
Practice Address - Street 1:825 HELENA AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3459
Practice Address - Country:US
Practice Address - Phone:406-202-3456
Practice Address - Fax:406-324-7056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1053777326Medicaid