Healthcare Provider Details

I. General information

NPI: 1972660363
Provider Name (Legal Business Name): CAREAN E HEYLIGER LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8601 W MAIN ST
BELLEVILLE IL
62223-1719
US

IV. Provider business mailing address

2611 SIERRA DR APT G
BELLEVILLE IL
62221-8908
US

V. Phone/Fax

Practice location:
  • Phone: 618-394-5900
  • Fax:
Mailing address:
  • Phone: 618-235-9735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: