MEDICARE: MRS. STEPHANIE ANNE HEINTZ LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC 49877	CA
2	101Y00000X	Counselor
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1568593861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE ANNE HEINTZ LMFT

Provider Business Mailing Address
First Line	:	PO BOX 2543
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93303-2543
Country	:	US
Telephone Number	:	661-238-3120
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 2543
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93303-2543
Country	:	US
Telephone Number	:	661-238-3120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	10/02/2024

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