Organization
HEYNEN-CRONIN MENTAL HEALTH & WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER JEAN HEYNEN LPC-MH (OWNER)
(605) 348-0905
Entity
Organization
Contact information
Practice address
703 4TH ST, RAPID CITY, SD 57701-3601
(605) 348-0905
Mailing address
703 4TH ST, RAPID CITY, SD 57701-3601
(605) 348-0905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH2133
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6576082
—
SD
Enumeration date
07/10/2012
Last updated
07/10/2012
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