Individual
AMY HEIDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
3160 FANNIN ST STE 103, BEAUMONT, TX 77701-3947
(225) 615-7282
Mailing address
5510 GRANT AVE, GROVES, TX 77619-5626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TX
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/26/2019
Last updated
10/01/2020
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