MEDICARE: HEIDI CAMBER LPC

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
1	101YP2500X	Professional Counselor	78566	TX

General Provider Information

NPI Number	:	1114745387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI CAMBER LPC

Provider Business Mailing Address
First Line	:	798 FM 3191
Second Line	:
City	:	FALLS CITY
State	:	TX
Zip	:	78113-5205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	798 FM 3191
Second Line	:
City	:	FALLS CITY
State	:	TX
Zip	:	78113-5205
Country	:	US
Telephone Number	:	281-797-7918
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2024
Last Update Date	:	09/27/2024

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Directions to “ HEIDI CAMBER LPC” Practice Location

Language	Start Address	Practice Location

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