Provider Demographics
NPI:1477717817
Name:BYRNE, LEE ANNE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LEE
Middle Name:ANNE
Last Name:BYRNE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 FIRST AVE - WEST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-2462
Mailing Address - Country:US
Mailing Address - Phone:406-270-0790
Mailing Address - Fax:
Practice Address - Street 1:305 1ST AVE W
Practice Address - Street 2:
Practice Address - City:COLUMBIA FALLS
Practice Address - State:MT
Practice Address - Zip Code:59912-3619
Practice Address - Country:US
Practice Address - Phone:406-270-0790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT6341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical