Provider Demographics
NPI:1487144861
Name:HEMMY, MICHAEL P (BHPSS)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:P
Last Name:HEMMY
Suffix:
Gender:M
Credentials:BHPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 UPPER RIVER RD TRLR 14
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-7283
Mailing Address - Country:US
Mailing Address - Phone:406-770-3764
Mailing Address - Fax:
Practice Address - Street 1:2611 UPPER RIVER RD TRLR 14
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-7283
Practice Address - Country:US
Practice Address - Phone:406-770-3764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-11
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT175T00000X
171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No175T00000XOther Service ProvidersPeer Specialist