Healthcare Provider Details

I. General information

NPI: 1689827594
Provider Name (Legal Business Name): MICHAEL F HECK LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2008
Last Update Date: 12/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 LAKE ELMO DR STE 6
BILLINGS MT
59105-1798
US

IV. Provider business mailing address

1540 LAKE ELMO DR STE 6
BILLINGS MT
59105-1798
US

V. Phone/Fax

Practice location:
  • Phone: 406-969-5183
  • Fax:
Mailing address:
  • Phone: 406-969-5183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20960
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: