Healthcare Provider Details

I. General information

NPI: 1366373888
Provider Name (Legal Business Name): ADELHEID CLAIRE HECKEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEIDI HECKEL

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 HOLMES DR
COLORADO SPRINGS CO
80909-4132
US

IV. Provider business mailing address

1106 HOLMES DR
COLORADO SPRINGS CO
80909-4132
US

V. Phone/Fax

Practice location:
  • Phone: 937-993-3181
  • Fax:
Mailing address:
  • Phone: 937-993-3181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberNA.00836843
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0026504
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: