Stark, Heidi Alyssa

Stark, Heidi Alyssa is an sole proprietor health care provider with primary practice located at 4024 Ivy Dr , Nampa ID 83686-8852. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Stark, Heidi Alyssa can be contacted via phone (208) 890-3864.

Contact Information

Primary practice address
4024 Ivy Dr Nampa ID 83686-8852
Phone: (208) 890-3864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMSW-38223 Idaho

Profile Details

NPI number 1356959787
LBN Legal business name Stark, Heidi Alyssa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2020
Last updated Jul 22nd, 2020 - about 6 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.

Request for update

Popular Providers