Provider Demographics
NPI:1235738980
Name:OWENS, HEIDI ER (LCPC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:ER
Last Name:OWENS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 N ROCK RD STE 502A
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-1355
Mailing Address - Country:US
Mailing Address - Phone:316-749-8228
Mailing Address - Fax:316-746-2156
Practice Address - Street 1:3450 N ROCK RD STE 502A
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-1355
Practice Address - Country:US
Practice Address - Phone:316-749-8228
Practice Address - Fax:316-746-2156
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03718-T101YP2500X
KS03843101YP2500X
KS03898101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional