Healthcare Provider Details

I. General information

NPI: 1255722948
Provider Name (Legal Business Name): HEIDI MCKINLEY LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2015
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 Code101YP2500X
TaxonomyProfessional Counselor
License Number24116
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: