Healthcare Provider Details

I. General information

NPI: 1750595898
Provider Name (Legal Business Name): ANNA R RAPSON LCSW, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 MAIN ST STE 5
MILES CITY MT
59301-4028
US

IV. Provider business mailing address

PO BOX 263
MILES CITY MT
59301-0263
US

V. Phone/Fax

Practice location:
  • Phone: 406-853-4812
  • Fax:
Mailing address:
  • Phone: 406-853-4812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number819
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number92
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: