Provider Demographics
NPI:1013036276
Name:KNOX-HEITKAMP, WINDEE (LPC)
Entity Type:Individual
Prefix:
First Name:WINDEE
Middle Name:
Last Name:KNOX-HEITKAMP
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 1:3225 BATTLEGROUND AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-2617
Mailing Address - Country:US
Mailing Address - Phone:336-988-3117
Mailing Address - Fax:336-286-6795
Practice Address - Street 1:3225 BATTLEGROUND AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2617
Practice Address - Country:US
Practice Address - Phone:336-988-3117
Practice Address - Fax:336-286-6795
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2142101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102299NCMedicaid