MEDICARE: HEIDI MARIE STAMPER LPC

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	101YM0800X	Mental Health Counselor	6401017666	MI

General Provider Information

NPI Number	:	1619519162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI MARIE STAMPER LPC

Provider Business Mailing Address
First Line	:	26375 HALSTED RD APT 185
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-3769
Country	:	US
Telephone Number	:	248-579-2980
Fax Number	:

Provider Business Practice Location Address
First Line	:	26375 HALSTED RD APT 185
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-3769
Country	:	US
Telephone Number	:	248-579-2980
Fax Number	:

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

Provider Enumeration Date	:	10/16/2019
Last Update Date	:	01/22/2026

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