MEDICARE: JANINE HIEB LAC 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	917	MT
2	101YP2500X	Professional Counselor	1206LCPC	MT
3	261Q00000X	Clinic/Center
4	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	742550	OTHER		BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841271194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANINE HIEB LAC LCPC

Provider Business Mailing Address
First Line	:	1601 2ND AVE N
Second Line	:	SUITE 200
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3259
Country	:	US
Telephone Number	:	406-761-5046
Fax Number	:	406-761-4975

Provider Business Practice Location Address
First Line	:	1601 2ND AVE N
Second Line	:	SUITE 200
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3259
Country	:	US
Telephone Number	:	406-761-5046
Fax Number	:	406-761-4975

Authorized Official
Title or Position	:	LIC ADDICTION COUNSELOR & PROF COUN
Name	:	JANINE HIEB
Credential	:	LAC LCPC
Telephone Number	:	406-761-4056

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	03/25/2024

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