Provider Demographics
NPI:1508101593
Name:HARTIG, HEIDI (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:
Last Name:HARTIG
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11140 ROCKVILLE PIKE STE 602
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3117
Mailing Address - Country:US
Mailing Address - Phone:301-615-3046
Mailing Address - Fax:
Practice Address - Street 1:11140 ROCKVILLE PIKE STE 602
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3117
Practice Address - Country:US
Practice Address - Phone:301-615-3046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-03
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health