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NPI Code Detail

MEDICARE: AMY HEIMAN LCPC

MEDICARE:   AMY  HEIMAN  LCPC
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 Counselor180-001844IL

General Provider Information

NPI Number : 1912907932
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY HEIMAN LCPC
Provider Business Mailing Address
First Line : 330 DIVISION DR STE J
Second Line :
City : SUGAR GROVE
State : IL
Zip : 60554-9800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 330 DIVISION DR STE J
Second Line :
City : SUGAR GROVE
State : IL
Zip : 60554-9800
Country : US
Telephone Number : 630-708-0317
Fax Number : 630-277-8362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2005
Last Update Date : 08/12/2024

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Directions to “ AMY HEIMAN LCPC” Practice Location

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