Lively, Heidi Lee

Lively, Heidi Lee is an sole proprietor health care provider with primary practice located at 15 Osborne Ln , Woodbridge CT 06525-1728. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lively, Heidi Lee can be contacted via phone (207) 522-3676.

Contact Information

Primary practice address
15 Osborne Ln Woodbridge CT 06525-1728
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 009440 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X ME298967 Maine

Profile Details

NPI number 1174694202
LBN Legal business name Lively, Heidi Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2006
Last updated Oct 31st, 2023 - about last year

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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