Provider Demographics
NPI:1417290354
Name:LEMKE, HEATHER (MA, NCC, LCPC)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:LEMKE
Suffix:
Gender:F
Credentials:MA, NCC, LCPC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:WILK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, NCC, LCPC
Mailing Address - Street 1:50 S MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-5485
Mailing Address - Country:US
Mailing Address - Phone:847-962-6731
Mailing Address - Fax:630-352-3201
Practice Address - Street 1:50 S MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5485
Practice Address - Country:US
Practice Address - Phone:847-359-7490
Practice Address - Fax:847-359-7525
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009965101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional