Provider Demographics
NPI:1700283322
Name:LECHTENBERG, HEATHER MICHELLE (LMFT-T)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:MICHELLE
Last Name:LECHTENBERG
Suffix:
Gender:F
Credentials:LMFT-T
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:MICHELLE
Other - Last Name:JOHANNINGMEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT-T
Mailing Address - Street 1:307 WILSON ST
Mailing Address - Street 2:PO BOX 308
Mailing Address - City:POSTVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52162-7790
Mailing Address - Country:US
Mailing Address - Phone:563-864-7122
Mailing Address - Fax:563-864-7123
Practice Address - Street 1:307 WILSON ST
Practice Address - Street 2:
Practice Address - City:POSTVILLE
Practice Address - State:IA
Practice Address - Zip Code:52162-7790
Practice Address - Country:US
Practice Address - Phone:563-864-7122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA075287106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist