Heuvelman, Kenneth Shine
Heuvelman, Kenneth Shine is an sole proprietor health care provider with primary practice located at 520 Superior St , Port Huron MI 48060-3838. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Heuvelman, Kenneth Shine can be contacted via phone (810) 984-4202.Contact Information
Primary practice address
520 Superior St
Port Huron MI 48060-3838
Phone: (810) 984-4202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C-03596 | Michigan |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | BBH-LAC-LIC-24075 | Montana |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6451022467 | Michigan |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401225382 | Michigan |
Profile Details
| NPI number | 1982123006 |
|---|---|
| LBN Legal business name | Heuvelman, Kenneth Shine |
| Credentials | LPC, CAADC, CCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2017 |
| Last updated | Aug 4th, 2025 - 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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