Provider Demographics
NPI:1821742800
Name:ERIN HAUSKNECHT, LCSW
Entity Type:Organization
Organization Name:ERIN HAUSKNECHT, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:HAUSKNECHT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-239-3290
Mailing Address - Street 1:PO BOX 1082
Mailing Address - Street 2:
Mailing Address - City:FRENCHTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59834-1082
Mailing Address - Country:US
Mailing Address - Phone:406-239-3290
Mailing Address - Fax:
Practice Address - Street 1:7168 EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-8587
Practice Address - Country:US
Practice Address - Phone:406-532-1178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health