Provider Demographics
NPI:1801335427
Name:WILSON, HEIKE (LPCC)
Entity type:Individual
Prefix:
First Name:HEIKE
Middle Name:
Last Name:WILSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 VICTORY PARKWAY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45207
Mailing Address - Country:US
Mailing Address - Phone:513-363-8400
Mailing Address - Fax:513-363-8420
Practice Address - Street 1:3250 VICTORY PARKWAY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207
Practice Address - Country:US
Practice Address - Phone:513-558-5891
Practice Address - Fax:513-558-5076
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1300054101YM0800X
OHE.1300054-SUPV101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health