Heienickle, Melynda

Heienickle, Melynda is an sole proprietor health care provider with primary practice located at 1480 Woodstone Dr Ste 112 , Saint Charles MO 63304-6872. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Heienickle, Melynda can be contacted via phone (636) 362-4551.

Contact Information

Primary practice address
1480 Woodstone Dr Ste 112 Saint Charles MO 63304-6872
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2018036494 Missouri

Profile Details

NPI number 1942778360
LBN Legal business name Heienickle, Melynda
Credentials BSED, MC, CSC, PLPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2018
Last updated Nov 3rd, 2018 - 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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