Provider Demographics
NPI:1740720481
Name:MALISSA STEFFES LCSW PLLC
Entity type:Organization
Organization Name:MALISSA STEFFES LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:MALISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFFES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-794-4368
Mailing Address - Street 1:PO BOX 30743
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-0743
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 N 27TH ST
Practice Address - Street 2:SUITE 390
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1261
Practice Address - Country:US
Practice Address - Phone:406-794-4368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT46941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty