MEDICARE: DR. SYLVIA C HELD LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	958	MT
2	101YP2500X	Professional Counselor	953	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	740130	OTHER	MT	BLUECROSSBLUESHIELD

General Provider Information

NPI Number	:	1629134788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYLVIA C HELD LCPC

Provider Business Mailing Address
First Line	:	PO BOX 1043
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59903-1043
Country	:	US
Telephone Number	:	406-755-5822
Fax Number	:	406-755-5822

Provider Business Practice Location Address
First Line	:	22 2ND AVE W
Second Line	:	STE 3100
City	:	KALISPELL
State	:	MT
Zip	:	59901-4466
Country	:	US
Telephone Number	:	406-755-5822
Fax Number	:	406-755-5822

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2006
Last Update Date	:	03/16/2012

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