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
Phone: (636) 362-4551
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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