Healthcare Provider Details

I. General information

NPI: 1255267068
Provider Name (Legal Business Name): EMILY HUBER LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1174 STONERIDGE DR STE 100
BOZEMAN MT
59718-9850
US

IV. Provider business mailing address

3130 FLURRY LN
BOZEMAN MT
59718-3190
US

V. Phone/Fax

Practice location:
  • Phone: 406-209-8327
  • Fax:
Mailing address:
  • Phone: 406-579-6224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-PCLC-LIC-89433
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: