Amy Fantozzi, LCPC
Individual provider Active NPI Professional Counselor · Libby, MT
NPI 1891460366 · NPPES record last updated Sep 27, 2022
Key facts
- NPI
- 1891460366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- BBH-LCPC-57447 (MT)
- Practice address
- 216 W 9TH St Ste 2
Libby, MT 59923-1866 - Phone
- (406) 291-2655
- NPI assigned
- Aug 16, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCPC-57447 | MT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | BBH-LCPC-57447 | MT | Yes |
Addresses
Primary practice location
216 W 9TH St Ste 2
Libby, MT 59923-1866
Mailing address
2538 Swede Mountain Rd
Libby, MT 59923-7669
Phone (406) 283-1350
Other practice location 1
723 5th Ave E # B-18
Kalispell, MT 59901-5321
Phone (406) 283-1350
Other providers in Libby, MT
- Empower Physical Therapy, PLLC
- Ercanbrack Surgical PC
- Lance L Ercanbrack
- Eric C. Simpson D.D.S., P.C.
- Family Health & Wellness, Inc.
- Tony Albert Fantozzi
- Virginia Fikes
- Martha A. Finley
- Fisher River Valley Fire Service Area
- Fisher River Volunteer Fire Company
All providers in Libby, MT · Professional Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.