Provider Demographics
NPI:1982149654
Name:LANG, AIMEE LYNNE (MS)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:LYNNE
Last Name:LANG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:AIMEE
Other - Middle Name:LYNNE
Other - Last Name:VOLKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:PO BOX 1054
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-1054
Mailing Address - Country:US
Mailing Address - Phone:406-624-9311
Mailing Address - Fax:
Practice Address - Street 1:308 13TH ST
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-3133
Practice Address - Country:US
Practice Address - Phone:406-624-9311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-22678101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor