Provider Demographics
NPI:1821147505
Name:PRICE, HEIDI (LSCSW)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11233 NALL AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1638
Mailing Address - Country:US
Mailing Address - Phone:913-432-1992
Mailing Address - Fax:913-432-1992
Practice Address - Street 1:11233 NALL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1638
Practice Address - Country:US
Practice Address - Phone:913-432-1992
Practice Address - Fax:913-432-1992
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical