Heidi M Easterly in Fort Wayne - Marriage & Family Therapist
Heidi M Easterly - NPI 1912089889
Heidi M Easterly is a Marriage & Family Therapist in Fort Wayne, Indiana. Heidi M Easterly practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Heidi M Easterly is 1912089889. The last update date is 2007-07-08.
Heidi M Easterly's current location address is 4216 Flagstaff Cove, Fort Wayne, Indiana. You can contact this provider via phone number 2604854357 and fax number 2604854357. The mailing address for Heidi M Easterly is 4216 Flagstaff Cove, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heidi M Easterly |
|---|---|
| Address | 4216 Flagstaff Cove, Fort Wayne, Indiana |
| Phone Number | 2604854357 |
| Fax Number | 2604854357 |
| Sole Proprietor | N |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1912089889 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4216 Flagstaff Cove |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468154417 |
| Phone Number | 2604854357 |
| Fax Number | 2604854357 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 35001427A |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 373674 | VALUE OPTIONS | ||
| 191132 | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Heidi M Easterly by the Centers for Medicare & Medicaid Services?
The Heidi M Easterly has been assigned the NPI (National Provider Identifier) 1912089889. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Heidi M Easterly?
The Heidi M Easterly is situated at 4216 Flagstaff Cove, in the city of Fort Wayne, state of IN, with the zip code 468154417.
What is the area of specialization for Heidi M Easterly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Heidi M Easterly is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.
On what date did Heidi M Easterly receive its 1912089889 assignment from the Centers for Medicare & Medicaid Services?
The Heidi M Easterly was assigned its 1912089889 on 2006-10-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Heidi M Easterly's information last updated?
The Heidi M Easterly's information was last updated on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY