SearchIllinois101Y00000X

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 Direction
Inferred 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