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NPI Code Detail

MEDICARE: HEIDI HIETT

MEDICARE:   HEIDI  HIETT
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
1101YP2500XProfessional Counselor101364TX
2106H00000XMarriage & Family Therapist206327TX

General Provider Information

NPI Number : 1346109642
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI HIETT
Provider Business Mailing Address
First Line : 4124 DUNCAN WAY
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-6011
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4500 MERCANTILE PLAZA DR STE 307
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4230
Country : US
Telephone Number : 817-232-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

Similar Medicare Providers

1083105720 — CRISTINA MARIE ALVAREZ
Practice Location Address:
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Practice Fax:
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1992322499 — EMILY ERIN OAKES LPC
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1356075832 — MRS. ANGELICA DANIEL RICHARD LCSW
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1265219802 — KOLBY ACKER LMFT-ASSOCIATE
Practice Location Address:
4500 MERCANTILE PLAZA DR STE 307
FORT WORTH, TX
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1154149797 — MRS. REBECCA EVANS LPC-S
Practice Location Address:
4500 MERCANTILE PLAZA DR STE 307
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Practice Fax:

Directions to “ HEIDI HIETT ” Practice Location

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