Search › Illinois › 101Y00000X
Bryan Heidel, LCPC
NPI 1639647696 · on the registry since 2018
Practice
- Address
- 2950 W Chicago Ave
Chicago, IL 60622 - Phone
- (773) 569-9553
- Organisation at this address
- Agave Studio, Llc
Hearthstone Psychology Pllc
Brave Space Counseling & Consulting Llc
Agave Studio For Psychotherapy And Spiritual DirectionInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois