Provider Demographics
NPI:1457749467
Name:HEIDENREICH, HEIDI (MS, LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:HEIDENREICH
Suffix:
Gender:F
Credentials:MS, LMHC, NCC
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:LAUGHLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LMHC, NCC
Mailing Address - Street 1:3314 E 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-5463
Mailing Address - Country:US
Mailing Address - Phone:509-981-2587
Mailing Address - Fax:
Practice Address - Street 1:3314 E 21ST AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-5463
Practice Address - Country:US
Practice Address - Phone:509-981-2587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-26
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60247864101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health