JOHN HARRY HEIDTKE M.A. LMSW NPI 1588788863

NPI Information

NPI: 1588788863
Provider Name: JOHN HARRY HEIDTKE, M.A., LMSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1600 GRATIOT BLVD
BLDG. B, SUITE 4
MARYSVILLE, MI
ZIP 48040
Phone: (810) 364-5800
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John Harry Heidtke, M.A., LMSW is an addiction (substance use disorder) counselor in Marysville, MI. John Harry Heidtke, M.A., LMSW NPI is 1588788863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 GRATIOT BLVD
BLDG. B, SUITE 4
MARYSVILLE, MI
ZIP 48040-145
Phone: (810) 364-5800
Fax: (810) 364-1200

The enumeration date for this NPI number is 3/19/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	68010111112	MICHIGAN	Yes
2	101YM0800X	Counselor	Mental Health	680101011112	MICHIGAN	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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