Provider Demographics
NPI:1669296422
Name:ONE LOVE FOUNDATION
Entity type:Organization
Organization Name:ONE LOVE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:APRYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-549-6808
Mailing Address - Street 1:9 SEPTEMBER DR
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-3321
Mailing Address - Country:US
Mailing Address - Phone:406-549-6808
Mailing Address - Fax:
Practice Address - Street 1:126 E BROADWAY ST STE 23
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4567
Practice Address - Country:US
Practice Address - Phone:406-823-0176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty