Provider Demographics
NPI:1942490511
Name:LONGKNIFE, SYLVIA F (LCPC)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:F
Last Name:LONGKNIFE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 813
Mailing Address - Street 2:
Mailing Address - City:ARLEE
Mailing Address - State:MT
Mailing Address - Zip Code:59821-0813
Mailing Address - Country:US
Mailing Address - Phone:406-726-4369
Mailing Address - Fax:406-494-1724
Practice Address - Street 1:107 8TH AVE W
Practice Address - Street 2:
Practice Address - City:POLSON
Practice Address - State:MT
Practice Address - Zip Code:59860-2911
Practice Address - Country:US
Practice Address - Phone:406-883-6333
Practice Address - Fax:406-883-6332
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1262101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1262OtherSTATE OF MONTANA LICENSE