Provider Demographics
NPI:1134269616
Name:BENDELL, HEIDI JANE (LPC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:JANE
Last Name:BENDELL
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 1:2855 MAIN AVE STE A105
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5959
Mailing Address - Country:US
Mailing Address - Phone:970-382-6690
Mailing Address - Fax:970-382-0207
Practice Address - Street 1:2855 MAIN AVE STE A105
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5959
Practice Address - Country:US
Practice Address - Phone:970-382-6690
Practice Address - Fax:970-382-0207
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO268101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO268OtherLICENSE