Provider Demographics
NPI:1245111988
Name:HUNTZINGER, ERNEST H (BBH-PCLC-LIC# 80844)
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:H
Last Name:HUNTZINGER
Suffix:
Gender:M
Credentials:BBH-PCLC-LIC# 80844
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:LIBBY
Mailing Address - State:MT
Mailing Address - Zip Code:59923-8292
Mailing Address - Country:US
Mailing Address - Phone:312-498-8852
Mailing Address - Fax:
Practice Address - Street 1:31733 S FORK YAAK RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MT
Practice Address - Zip Code:59935-8681
Practice Address - Country:US
Practice Address - Phone:800-844-1380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-PCLC-LIC-80844101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health