Provider Demographics
NPI:1760903041
Name:ESPE NAVIGATION GROUP, LLC
Entity Type:Organization
Organization Name:ESPE NAVIGATION GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMONS-VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-926-2011
Mailing Address - Street 1:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59806-0323
Mailing Address - Country:US
Mailing Address - Phone:406-926-2011
Mailing Address - Fax:
Practice Address - Street 1:2112 DIXON AVE STE 5
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-8226
Practice Address - Country:US
Practice Address - Phone:406-926-2011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health