Provider Demographics
NPI:1659498574
Name:HECK, STEPHANIE (IMFT)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:
Last Name:HECK
Suffix:
Gender:F
Credentials:IMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7160 CHAGRIN RD.
Mailing Address - Street 2:SUITE 185
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023
Mailing Address - Country:US
Mailing Address - Phone:330-635-7499
Mailing Address - Fax:330-665-8225
Practice Address - Street 1:7160 CHAGRIN RD.
Practice Address - Street 2:SUITE 185
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023
Practice Address - Country:US
Practice Address - Phone:330-635-7499
Practice Address - Fax:330-665-8225
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHM0500039106H00000X
OHF.0800010106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist