Provider Information for 1154083681
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HEIDI WHYTE LCSW
Sex: Female
NPI: 1154083681
Last Updated: 2025-01-29
Certification Date: 2025-01-29
Certification Date: 2025-01-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1154083681 | ||||||||
| Enumeration Date | 2021-10-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 601 1ST AVE N GREAT FALLS, MT 59401-2510 United States Phone: 406-454-6973 | Fax:406-791-9277 | ||||||||
| Primary Practice Address | 693 STOCKETT RD STE A SAND COULEE, MT 59472-9757 United States Phone: 406-454-6973 | Fax:406-791-9277 | ||||||||
| Secondary Practice Address(es) | 1 CHURCH ST 520 32ND ST N | ||||||||
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