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NPI Code Detail

MEDICARE: HEIDI KATHLEEN MCKINLEY PLPC

MEDICARE: HEIDI KATHLEEN MCKINLEY PLPC
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 CounselorPLC9567LA

General Provider Information

NPI Number : 1164116620
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI KATHLEEN MCKINLEY PLPC
Provider Business Mailing Address
First Line : 2721 DUMAINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-4217
Country : US
Telephone Number : 319-610-6686
Fax Number :
Provider Business Practice Location Address
First Line : 4902 CANAL ST STE 404
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-5874
Country : US
Telephone Number : 504-689-6368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2023
Last Update Date : 06/07/2023

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