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NPI Code Detail

MEDICARE: HEIDI ENRIQUEZ LPCA

MEDICARE:   HEIDI  ENRIQUEZ  LPCA
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
1101YM0800XMental Health Counselor96364TX

General Provider Information

NPI Number : 1013731744
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI ENRIQUEZ LPCA
Provider Business Mailing Address
First Line : 2023 W RANCH RD
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-5029
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 926 WITHERBY LN
Second Line :
City : LEWISVILLE
State : TX
Zip : 75067-4477
Country : US
Telephone Number : 888-317-7021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2024
Last Update Date : 11/11/2024

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Directions to “ HEIDI ENRIQUEZ LPCA” Practice Location

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