Heidecker, Amy Suzanne

Heidecker, Amy Suzanne is an individual health care provider with primary practice located at 728 S Main St , Kalispell MT 59901-5342. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Heidecker, Amy Suzanne can be contacted via phone (406) 885-3604.

Contact Information

Primary practice address
728 S Main St Kalispell MT 59901-5342
Phone: (406) 885-3604
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X BBH-LCPC-LIC50714 Montana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60851405 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1205236841
LBN Legal business name Heidecker, Amy Suzanne
Credentials LMHC, LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2014
Last updated Apr 20th, 2022 - about 3 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 1205236841 NPPES
Montana Other BBH-LCPC-LIC-50714 MONTANA STATE LICENSE

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