Healthcare Provider Details

I. General information

NPI: 1649266537
Provider Name (Legal Business Name): ANNE S HARRIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 09/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 N 31ST ST STE 107 TRANSWESTERN 2
BILLINGS MT
59101-1256
US

IV. Provider business mailing address

490 N 31ST ST STE 107 TRANSWESTERN 2
BILLINGS MT
59101-1256
US

V. Phone/Fax

Practice location:
  • Phone: 406-860-3754
  • Fax:
Mailing address:
  • Phone: 406-860-3754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number194LCSW
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: