Provider Demographics
NPI:1881643427
Name:WINTERS, HANK M (PHD,LCPC #7)
Entity Type:Individual
Prefix:DR
First Name:HANK
Middle Name:M
Last Name:WINTERS
Suffix:
Gender:M
Credentials:PHD,LCPC #7
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 N 3RD ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-2476
Mailing Address - Country:US
Mailing Address - Phone:406-363-3882
Mailing Address - Fax:406-363-3882
Practice Address - Street 1:217 N 3RD ST
Practice Address - Street 2:SUITE G
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-2476
Practice Address - Country:US
Practice Address - Phone:406-363-3882
Practice Address - Fax:406-363-3882
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLCPC # 7101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT075850OtherMT BLUE CROSS,BLUE SHIELD
MT0251342Medicaid