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NPI Code Detail

MEDICARE: ERIN ELIZABETH HECK LMFT

MEDICARE: ERIN ELIZABETH HECK 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
1106H00000XMarriage & Family Therapist0642KY
2106H00000XMarriage & Family Therapist106446KY

General Provider Information

NPI Number : 1790852044
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN ELIZABETH HECK LMFT
Provider Business Mailing Address
First Line : 104 REYNOLDS RD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1177
Country : US
Telephone Number : 270-678-4801
Fax Number : 270-678-3866
Provider Business Practice Location Address
First Line : 104 REYNOLDS RD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1177
Country : US
Telephone Number : 270-678-4801
Fax Number : 270-678-3866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 05/12/2021

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1588960777 — MARIYA FYE LCSW
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Directions to “ ERIN ELIZABETH HECK LMFT” Practice Location

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