Prociuk, Heather Lynn

Prociuk, Heather Lynn is an sole proprietor health care provider with primary practice located at 1140 State Road 540A , Lakeland FL 33813-3734. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Prociuk, Heather Lynn can be contacted via phone (863) 608-0583.

Contact Information

Primary practice address
1140 State Road 540A Lakeland FL 33813-3734
Phone: (863) 608-0583
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1003190703
LBN Legal business name Prociuk, Heather Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2011
Last updated Aug 19th, 2022 - about 4 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 1003190703 NPPES
Florida MEDICAID 0000

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