Davis, Heidi

Davis, Heidi is an individual health care provider with primary practice located at 1903 S Russell St , Missoula MT 59801-6603. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Davis, Heidi can be contacted via phone (406) 532-1934.

Contact Information

Primary practice address
1903 S Russell St Missoula MT 59801-6603
Phone: (406) 532-1934
Fax: (406) 541-8704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 765 Montana

Profile Details

NPI number 1033249206
LBN Legal business name Davis, Heidi
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033249206 NPPES
Montana MEDICAID 0257227

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