Healthcare Provider Details

I. General information

NPI: 1902829948
Provider Name (Legal Business Name): AMY LYNN STEFFENSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 1ST AVE S CENTER FOR MENTAL HEALTH
GREAT FALLS MT
59401-3705
US

IV. Provider business mailing address

PO BOX 3089 CENTER FOR MENTAL HEALTH
GREAT FALLS MT
59403-3089
US

V. Phone/Fax

Practice location:
  • Phone: 406-761-2100
  • Fax: 406-761-2107
Mailing address:
  • Phone: 406-761-2100
  • Fax: 406-761-2107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number853
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: