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NPI 1154083681

NPI 1154083681 : HEIDI WHYTE LCSW : SAND COULEE, MT

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General NPI Number Information
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    NPI Number           |    1154083681
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    Entity Type          |    Individual 
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    Provider Name        |    HEIDI WHYTE LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/12/2021
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    Last Update Date     |    10/01/2025
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Provider Practice Location Address
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    Address Line         |    693 STOCKETT RD STE A 
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    City                 |    SAND COULEE
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    State                |    MT
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    Zip                  |    59472-9757
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    Country              |    US
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    Telephone            |    406-454-6973
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    Fax                  |    406-791-9277
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Provider Business Mailing Address
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    Address Line         |    601 1ST AVE N 
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    City                 |    GREAT FALLS
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    State                |    MT
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    Zip                  |    59401-2510
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    Country              |    US
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    Telephone            |    406-454-6973
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    Fax                  |    406-791-9277
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    BBH-LCSW-LIC-50611
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    License Number State |    MT
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