| Amanda Heaney Lpc Pllc | |
|
3033 Nw 63rd St Suite 160 East Okc OK 73116 | |
| (405) 259-7443 | |
| (405) 421-0719 |
| Full Name | Amanda Heaney Lpc Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3033 Nw 63rd St, Okc, Oklahoma |
| Authorized Official Name and Position | Amanda Christine Heaney (THERAPIST) |
| Authorized Official Contact | 4052597443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Heaney Lpc Pllc 3033 Nw 63rd St Ste 160 Oklahoma City OK 73116-3607 Ph: (405) 259-7443 | Amanda Heaney Lpc Pllc 3033 Nw 63rd St Suite 160 East Okc OK 73116 Ph: (405) 259-7443 |
| NPI Number | 1396208302 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Medicare PECOS PAC ID | 5496282287 |
|---|---|
| Medicare Enrollment ID | O20241217004613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396208302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Amanda Heaney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902261969 PECOS PAC ID: 6305373192 Enrollment ID: I20241217004628 |
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