Heather Havemeier

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Litchfield, MN

NPI 1326570359 · NPPES record last updated Mar 29, 2017

Key facts

NPI
1326570359
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1326 E Ripley St
Litchfield, MN 55355-4525
Phone
(320) 593-0440
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Jacy II LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1326 E Ripley St
Litchfield, MN 55355-4525

Mailing address

1326 East Ripley St
Litchfield, MN 55355
Phone (320) 593-0440

Other providers in Litchfield, MN

All providers in Litchfield, MN · Addiction (Substance Use Disorder) Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.