Provider Demographics
NPI:1508192337
Name:SIKMA, HEIDI SUE (LPC)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:SUE
Last Name:SIKMA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 HIGHWAY N
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-7013
Mailing Address - Country:US
Mailing Address - Phone:636-561-7080
Mailing Address - Fax:636-561-0463
Practice Address - Street 1:7400 HIGHWAY N
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-7013
Practice Address - Country:US
Practice Address - Phone:636-561-7080
Practice Address - Fax:636-561-0463
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009032621101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional