Organization
STACEY HEIDLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY HEIDLER LMHC (THERAPIST)
(239) 446-7620
Entity
Organization
Contact information
Practice address
8191 COLLEGE PKWY STE 207, FORT MYERS, FL 33919-5110
(239) 446-7620
Mailing address
3505 NE 21ST AVE, CAPE CORAL, FL 33909-7334
(239) 446-7620
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
06/19/2026
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