Provider Demographics
NPI:1639373939
Name:M.J.H.H., INC.
Entity Type:Organization
Organization Name:M.J.H.H., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST, BOARD CHAIR
Authorized Official - Prefix:DR
Authorized Official - First Name:M
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:HESS-HOMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:406-543-6736
Mailing Address - Street 1:445 S 5TH ST W
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-2619
Mailing Address - Country:US
Mailing Address - Phone:406-543-6736
Mailing Address - Fax:406-728-7390
Practice Address - Street 1:445 S 5TH ST W
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-2619
Practice Address - Country:US
Practice Address - Phone:406-543-6736
Practice Address - Fax:406-728-7390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT131103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT49-0776Medicaid
MT1568558591OtherPERSONAL NPI