MEDICARE: TERRY HEFTER ASSOCIATES LLC

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	101YP2500X	Professional Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1861589624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERRY HEFTER ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	1731 NORTH MARCEY
Second Line	:	SUITE 535
City	:	CHICAGO
State	:	IL
Zip	:	60614
Country	:	US
Telephone Number	:	312-280-1166
Fax Number	:	312-280-1199

Provider Business Practice Location Address
First Line	:	1731 NORTH MARCEY
Second Line	:	SUITE 535
City	:	CHICAGO
State	:	IL
Zip	:	60614
Country	:	US
Telephone Number	:	312-280-1166
Fax Number	:	312-280-1199

Authorized Official
Title or Position	:	OWNER
Name	:	MS. TERRY HEFTER
Credential	:	LCPC
Telephone Number	:	312-280-1166

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	09/11/2025

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