Organization
HEALTH-E LIVING PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS HEINECKE PSY.D. (CO-FOUNDER)
(816) 379-6932
Entity
Organization
Contact information
Practice address
117 S LEXINGTON ST STE 100, HARRISONVILLE, MO 64701-2444
(816) 379-6932
Mailing address
2305 S PONCA AVE, INDEPENDENCE, MO 64057-2451
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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