Provider Demographics
NPI:1801106356
Name:HECK, REGINA (MA)
Entity type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:
Last Name:HECK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5610 W 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-2362
Mailing Address - Country:US
Mailing Address - Phone:303-808-4889
Mailing Address - Fax:
Practice Address - Street 1:25 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-5195
Practice Address - Country:US
Practice Address - Phone:303-297-4029
Practice Address - Fax:303-764-6270
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health