Heeren, Roy Charles

Heeren, Roy Charles is an individual health care provider with primary practice located at 12935 S West Bay Shore Dr Ste 330 , Traverse City MI 49684-6291. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Heeren, Roy Charles can be contacted via phone (231) 933-4661.

Contact Information

Primary practice address
12935 S West Bay Shore Dr Ste 330 Traverse City MI 49684-6291
Phone: (231) 933-4661
Fax: (231) 933-4661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801020676 Michigan

Profile Details

NPI number 1548317985
LBN Legal business name Heeren, Roy Charles
Credentials LMSW, ACSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated May 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548317985 NPPES
Michigan Other 800B800100 BLUE CROSS

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