Healthcare Provider Details

I. General information

NPI: 1982149654
Provider Name (Legal Business Name): AIMEE LYNNE LANG M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AIMEE LYNNE VOLKMAN M.S.

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 05/04/2022
Certification Date: 05/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 13TH ST
BELGRADE MT
59714-3133
US

IV. Provider business mailing address

PO BOX 1054
BELGRADE MT
59714-1054
US

V. Phone/Fax

Practice location:
  • Phone: 406-624-9311
  • Fax:
Mailing address:
  • Phone: 406-624-9311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberBBH-LCPC-LIC-22678
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: