Provider Demographics
NPI:1740644004
Name:SCHEIDEGGER, KIMBERLY BROOKE (LPC, MSHP)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:BROOKE
Last Name:SCHEIDEGGER
Suffix:
Gender:F
Credentials:LPC, MSHP
Other - Prefix:MISS
Other - First Name:KIMBERLY
Other - Middle Name:BROOKE
Other - Last Name:HARMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9045 FOREST CENTRE WAY
Mailing Address - Street 2:HEARTLIFE PROFESSIONAL SOUL CARE
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138
Mailing Address - Country:US
Mailing Address - Phone:901-756-5788
Mailing Address - Fax:
Practice Address - Street 1:9045 FOREST CENTRE WAY
Practice Address - Street 2:HEARTLIFE PROFESSIONAL SOUL CARE
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138
Practice Address - Country:US
Practice Address - Phone:901-756-5788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional