Campbell, Heather

Campbell, Heather is an sole proprietor health care provider with primary practice located at 223 N Wahsatch Ave Suite 104, Colorado Springs CO 80903-3479. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Campbell, Heather can be contacted via phone (719) 646-1835.

Contact Information

Primary practice address
223 N Wahsatch Ave Suite 104 Colorado Springs CO 80903-3479
Phone: (719) 646-1835
Fax: (719) 505-8554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5608 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X 5608 Colorado

Profile Details

NPI number 1912173154
LBN Legal business name Campbell, Heather
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2008
Last updated Mar 24th, 2011 - about 15 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 1912173154 NPPES
Colorado MEDICAID 04140091

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