Healthcare Provider Details

I. General information

NPI: 1801704259
Provider Name (Legal Business Name): NICOLE HEIL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N 25TH ST, GRAND JUNCTION, CO 81501
GRAND JUNCTION CO
81501
US

IV. Provider business mailing address

669 PLEASANT CT
GRAND JUNCTION CO
81505-4808
US

V. Phone/Fax

Practice location:
  • Phone: 970-462-7699
  • Fax:
Mailing address:
  • Phone: 970-462-7699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: