Healthcare Provider Details

I. General information

NPI: 1215772710
Provider Name (Legal Business Name): VICTORIA LEE HECK PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7012 CHARLESTON SHORES BLVD
LAKE WORTH FL
33467-7628
US

IV. Provider business mailing address

7012 CHARLESTON SHORES BLVD
LAKE WORTH FL
33467-7628
US

V. Phone/Fax

Practice location:
  • Phone: 561-316-6665
  • Fax: 814-559-3929
Mailing address:
  • Phone: 561-316-6665
  • Fax: 814-559-3929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11033652
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: