Healthcare Provider Details

I. General information

NPI: 1841566312
Provider Name (Legal Business Name): LINDA AMTHOR HOENIGSBERG LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 03/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 S EWING ST STE 411
HELENA MT
59601-5938
US

IV. Provider business mailing address

1023 E 6TH AVE
HELENA MT
59601-4469
US

V. Phone/Fax

Practice location:
  • Phone: 406-461-8717
  • Fax:
Mailing address:
  • Phone: 406-461-8717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2222
License Number StateMT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: