Healthcare Provider Details

I. General information

NPI: 1124922703
Provider Name (Legal Business Name): HEIDI MCKINLEY COUNSELING AND SUPERVISION, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21000 FRONTAGE RD STE 6
BELGRADE MT
59714-8547
US

IV. Provider business mailing address

21000 FRONTAGE RD STE 6
BELGRADE MT
59714-8547
US

V. Phone/Fax

Practice location:
  • Phone: 406-570-5294
  • Fax:
Mailing address:
  • Phone: 406-570-5294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: HEIDI MCKINLEY
Title or Position: OWNER/COUNSELOR/SUPERVISOR
Credential: PHD, LCPC
Phone: 406-570-5294