Provider Demographics
NPI:1215728670
Name:HECK, KARISSA KAY (LPCC)
Entity type:Individual
Prefix:
First Name:KARISSA
Middle Name:KAY
Last Name:HECK
Suffix:
Gender:X
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6776 LAKE DR STE 170
Mailing Address - Street 2:
Mailing Address - City:LINO LAKES
Mailing Address - State:MN
Mailing Address - Zip Code:55014-1201
Mailing Address - Country:US
Mailing Address - Phone:763-291-5505
Mailing Address - Fax:
Practice Address - Street 1:6776 LAKE DR STE 170
Practice Address - Street 2:
Practice Address - City:LINO LAKES
Practice Address - State:MN
Practice Address - Zip Code:55014-1201
Practice Address - Country:US
Practice Address - Phone:763-291-5505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4993101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health