Provider Demographics
NPI:1982093043
Name:LAMOURE COUNTY SOCIAL SERVICES
Entity Type:Organization
Organization Name:LAMOURE COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VOIGHTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:701-883-5301
Mailing Address - Street 1:202 4TH AVE NE
Mailing Address - Street 2:PO BOX 38
Mailing Address - City:LAMOURE
Mailing Address - State:ND
Mailing Address - Zip Code:58458
Mailing Address - Country:US
Mailing Address - Phone:701-883-5301
Mailing Address - Fax:701-883-4427
Practice Address - Street 1:202 4TH AVE NE
Practice Address - Street 2:
Practice Address - City:LAMOURE
Practice Address - State:ND
Practice Address - Zip Code:58458
Practice Address - Country:US
Practice Address - Phone:701-883-5301
Practice Address - Fax:701-883-4427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND38823251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health